Elite Athlete and Performers Adjustment Scheme

Required fields are marked with an asterisk (*).

Personal details

Given name *

Family name *

Date of birth *

Day Month Year

Address *

City/suburb *

Postcode *

Home phone

Mobile *

Email *

Please indicate how you are applying for your course. *

Please provide either your VTAC or Deakin ID. *

Sporting details

Sport *

Sporting club/team *

Competition level in 2025/2026 *

Sport governing body *

Are you recognised by your governing body? *

Membership of Professional Sport Associations/Institutes * eg: AFLPA, AIS, VIS

Major sporting achievements *

Statement of support

Name of referee *

Name of organisation *

Position *

Phone *

Email *

Supporting evidence

Evidence of participation *

Statement of support *

Other