E - Elite Athlete and Performer Program Application Form

Personal Details

First Name (required)
Surname (required)
Date of Birth (required)
Contact Phone Number (required)
Email Address (required)
Postal Address Line 1 (required)
Postal Address Line 2 (required)
State/Region (required)
Country
Postal / Zip Code

Enrolment Details

UAC/QTAC/VTAC Number (required)
UAC/QTAC/VTAC Course Code (required)
Name of the course you are applying for (required)
Campus (required)

Sporting or Performing Details

What is your chosen sport or performing discipline? (required)
What sporting or performing organisation are you currently affiliated with? (i.e. club, team, institute of sport or state or national sporting organisation) (required)
What are your most recent sporting or performing achievements? (i.e. in the past 12 months) (required)
What are your short and long term sporting or performing goals? (required)

Please provide details of your Athletic Career and Education Advisor or equivalent performing referee (if applicable).

Referee Name
Referee Contact Phone Number
Referee Email

Supporting Evidence

You must attach a brief one page cover letter with your sporting or performing curriculum vitae along with documentary evidence to authenticate the level of sporting or performing achievement related to this application. This is normally a letter from the relevant sporting or performing institution or association. Also include any available evidence of team selection information and national or state rankings etc.

You can attach two files (each file cannot not exceed 10Mb). Once you submit this form, it will then be forwarded to the Elite Athlete and Performer Coordinator for assessment. If you have larger files, please send them to elite.athleteprogram@acu.edu.au.

Supporting Evidence (required)

ACU Student Athlete Terms and Conditions

In order to apply for the Elite Athlete and Performer Program, you must read and accept the ACU Student Athlete and Financial Scholarship Terms and Conditions.

Acknowledgement (required)