Personal Details
 
 
 
 
 
Title
 
 
 
 
Given Name:*
 
 
 
 
Family Name:*
 
 
 
 
Preferred Name
 
 
 
 
Date of Birth *
 
 
 
 
Gender*
 
 
 
 
 
 
 
Contact Details
 
 
 
 
 
Address Line 1*
 
 
Address Line 2*
 
 
 
Contact Suburb/City*
 
 
Contact State/Region*
 
 
Postcode*
 
 
Mailing Address (write 'as above' if your address is the same)
 
 
 
Contact Home Phone
 
 
Mobile Phone*
 
 
 
Student Email *
 
 
 
Preferred Email
 
 
 
Which High School did you attend?
 
 
 
 
 
 
Aboriginal or Torres Strait Islander (optional)
 
 
 
 
Are you of Aboriginal orgin
 
Yes
No
 
 
 
Are you of Torres Strait orgin
 
Yes
No
 
 
 
 
 
 
Bond University Details
 
 
 
 
 
Bond University Student ID Number: *
 
 
 
Faculty:*
 
 
 
Name of Course: *
 
 
 
Type of Study:*
 
 
 
Are you on a Bond University Scholarship *
 
Yes
No
 
 
 
If Yes, please provide details
 
 
 
 
 
 
Sporting background
 
 
 
 
 
Elite Athletes are identified as participating in an Australian Institute of Sport Funded Sport or Bond University recognised sport.

Bond's Elite Sport Program has 2 tiers;

Tier 1 - National representative. I have represented my country in my chosen sport and/or I compete at international competitions e.g. World Championships.

Tier 2 - State respresentative. I have respresented my state in my chosen sport at National level competition.


  
I wish to apply as a:*
 
 
 
Sport*
 
 
 
Competition Level *
 
 
 
 
Sports Club represented
 
 
 
Current Ranking (if applicable)
 
 
 
Please detail your highest achievements in your chosen sport *
 
 
 
How many hours per week on average do you train?*
 
 
 
 
 
 
Sport Coach/Referee
 
 
 
 
Name *
 
 
 
Position*
 
 
 
Contact phone number *
 
 
 
Email *
 
 
 
Please provide a written reference from your coach and email to sport@bond.edu.au 
 
 
 
I declare that all information I have documented is to the best of my knowledge and believe complete, true, and correct.  
I Agree
 
 
 
 
Do you agree to allow Bond University to promote your sporting achievements?
Yes
 
 
 
 
No