2015 Elite Athlete Program Application
Elite Athlete Recognition
This application will be used to determine a student’s eligibility to be recognized as an elite athlete under the University’s
Elite Athlete and Performer’s Procedure for flexible study assistance. Applications remain open throughout the year.
Students seeking alternative exam arrangements must also complete a Flexible Study Assistance Request
application which can be found at http://www.sport.unimelb.edu.au/EliteAthlete/.
Important: Do not print this document or complete in hand-writing. Click on the highlighted grey boxes and type in
your response or select the relevant response provided. Save and submit the document as per instructions in Section 6.
1. Personal Details
First Name:
Surname:
Date of Birth (dd-mm-yyyy):
Gender: Select
Postal Address:
Suburb:
State:Select
Postcode:
Preferred Email:
Home Telephone:
Mobile Telephone:
2. Academic Details: Only currently enrolled students of the University of Melbourne are eligible
to apply for Flexible Study Arrangements.
Student Number:
Enrolment Type: Select Type
Faculty: Please Select
Course:
Semester 1 Status: Select Status
Semester 2 Status: Select Status
2015 Year of Study: Please Select
Expected Year of Completion Please Select
3. Confirmation of Elite Athlete Status
Applicants wishing to be recognised as an elite athlete as per the University’s Elite Athlete and Artistic Performers Policy
(http://policy.unimelb.edu.au/UOM0408) MUST provide written confirmation from a program administrator from one of the
following organisations confirming their elite athlete status:
a)
1.
Australian Institute of Sport
2. State Institute or Academy of Sport
3.
Professional Players’ Association
4. National Sporting Organisation
5.
National League Team
6. State Sporting Organisation
Flexible study arrangements are only available to recognised elite athletes for the duration of their memberhsip with
one of the above organisations; or up until the conclusion of a national championship or league in which they are
competing. Membership refers to:
i.
An institute or academy of sport scholarship recipient or training agreement recipient.
ii.
A member of the AFL Players’ Association; Australian Cricketer’s Association; Australian Professional
Footballers’ Association; Rugby league Professionals’ Association; or Rugby Union Players’
Association
iii.
Selection in a national representative team by an Australian Sports Commission (ASC) supported
National Sporting Organisation
iv.
Selection in a national league team competitng in an ASC supported national competition eg.
Australian Volleyball League and National Water Polo League
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2015 Elite Athlete Program Application
Elite Athlete Recognition
v.
b)
Selection in a state representative team by an ASC supported State Sporting Organisation.
Individuals who have qualified to compete at ASC supported national championships may also be eligible for elite
athlete recognition and should provide confirmation of entry into the relevant national championship by their State or
National Sporting organisation.
c)
Written confirmation of elite athlete status from one of the recognised organisations must include:
i.
The start and end dates of any scholarship or training agreement; and/or the dates and location for
the national championship or international event for which the applicant has been selected.
ii.
The travel dates for the national championship or international event for which the applicant has been
selected (where applicable)
iii.
The dates, times and location of any program/championship/international event specific to the
applicants scholarship, training agreement or representative team selection (where applicable and/or
when known)
iv.
d)
This information should be provided on the oficial letterhead of the relevant organisation.
This application needs to be completed once per year for an applicant to be recognised as an elite athlete. Written
confirmation detailing the information outlined in c) I – iv must however be provided when applying for additional
flexible study arrangements
e)
Faculties and graduate schools may also require additional application forms to be submitted when seeking flexible
study arrangements.
Elite Athlete Status: Please Select
A of evidence must be provided. It must include on official letterhead, a concluding date for the athlete’s event, season or
scholarship (scholarships only apply for SIS/SAS programs). Please See Appendix 1 for an example.
Letter confirming elite athlete status provided as an electronic attachment.
4. Acknowledgement & Privacy Statement
I acknowledge that the information provided by me (including any attachments) in this application is true and accurate. I
understand that Melbourne University Sport reserves the right to amend or terminate the awarding of a scholarship should
information provided in this application be false and incorrect. I also understand that the information provided by me is
collected, stored and destroyed in accordance with the University of Melbourne Privacy Policy.
I acknowledge and submit my application
Date:
5. To Submit Application
1. Simply save the application with file name: Surname_EAR eg. Smith_EAR
2. Save your confirmation letter as: Surname_EAR_Evidence eg. Smith_EAR_Evidence
3. Email the two documents to [email protected].
Applications will NOT be accepted without an official letter confirming elite athlete status.
6. Further Information
All Flexible Study Arrangements and Elite Athlete Program queries should be directed to Carl
Junot, Elite Athlete Program Coordinator via P: 03 9035 3626 or E:
[email protected]
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2015 Elite Athlete Program Application
Elite Athlete Recognition
Appendix 1: Example of letter required for Section 3
Authorising Organsiation’s
Letter Head
[Date]
To Whom It May Concern;
This is a letter to confirm that [Athlete’s Name] is [Status Type: scholarship
holder/ league team member/ state or national team member] of [name of
Institute/League/Team].
This [season/scholarship/competition]’s duration is from [Start Date] to [End
Date] 2015.
Name
Signature
Position
3