MANIAH BETHAM SQUAD SCHOLARSHIP APPLICATION FORM

MANIAH BETHAM SQUAD SCHOLARSHIP APPLICATION FORM
APPLICANTS DETAILS
First Name: ______________________________________ Surname: _____________________________________
Address: _______________________________________________________________________________________
Suburb:__________________________________________________________________ Postcode:______________
Phone: (H) ______________________________________ (M)____________________________________________
Email: __________________________________________________________________________________________
SWIMMING DETAILS:
(The following information has no bearing on the outcome of the application however is designed to get to know the applicant better)
Squad Level
Gold
Silver
National
Development
Bronze
Advanced
Bronze Teen
Gym/Swim
Bronze
Fitness
Development
Favourite 3 events
1.
2.
3.
Personal Best Times
for these events
1.
2.
3.
Swimming
achievements to date
Short Term Swimming
Goals
Long Term Swimming
Goals
APPLICATION CRITERIA:
Duration as a Ripples
Squad Member?
Duration as a Ripples Club
Member?
QUESTIONNAIRE
In 250 words or less for each question please outline to the panel how you meet the following essential
criteria.
1. Demonstrates regular consistency with attending training sessions, is always prepared and for each
session and follows directions well from the coaching staff.
2. Displays respect for the coaching team, Ripples staff, other team members and their families.
3. Promotes and supports the Ripples swim squad
4. Fosters a team spirit.
5. Comes from a disadvantaged or unique background i.e. low-social economic, large family, single
parent family, from an Aboriginal or multi-cultural background etc…
6. Demonstrates diligence and dedication towards their swimming goals.
7. Creates a positive team atmosphere and is a potential role model to other squad participants.
APPLICATIONS CLOSE 30TH APRIL 2015
Applications will be accepted via email to programs@ripplesnsw.com.au or in person to Ripples Reception please
address all applications in person in an envelope and addressed:
Attention: Tania Weatherley
Maniah Betham Scholarship Application
ENQUIRIES
If you have any additional enquiries regarding this scholarship please contact:
Tania Weatherley
Program Coordinator
Tel: 9833 3000
Email: programs@ripplesnsw.com.au
Alternatively
Tammy Weatherby
Tel: 9833 3000
Learn to Swim Team Leader
Email: lts@ripplesnsw.com.au