Elite Athlete Program Registration Form

Required fields are marked with an asterisk (*).

Personal Details
1. Title *
4. Date of Birth: *
14. Are you of Aboriginal or Torres Strait Islander origin?
Enrolment Details
Sporting Details
Supporting Evidence
A sporting resume with highlights and achievements over the past 12-24 months. (pdf format only)
A sporting reference letter from relevant sporting body (highest level) verifying your involvement over the past 12 months and ongoing commitments. (pdf format only)
(jpeg/png format only. Must not exceed more than 10 MB)
29. Acknowledgement:
Applicant Declaration
30. Please read carefully: * By checking this box you declare that the information provided on this form is true and correct. I agree that these details may be made available to both Deakin University and DUSA, and respective selection committee personnel. I also agree to assist & participate in Deakin University related marketing activations (attendance at events, supplying images/videos for publishing, interviews, blogs etc)

Privacy collection statement:

The information on this form is collected for the primary purpose of the Elite Athlete Program. If you choose not to complete all the questions on this form, it may not be possible for Deakin University to assist you as a talented student athlete. Personal information may also be disclosed to Deakin University faculty contacts. You have a right to access personal information that Deakin University holds about you, subject to any exceptions in relevant legislation.

For further information, please contact the Elite Sports Coordinator on 0438 712 324.

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