TIS-APP-001 (National Reps)

TIS-APP-001-01

Application Form
National Representatives Fund

A sports assistance scheme initiated by the Tasmanian Government to cover the additional cost to Tasmanian Athletes and Coaches competing at a Junior or Open Competition level to travel with an international team competing overseas.

GUIDELINES

No retrospective applications will be accepted

Assistance is made available to cover the additional cost to Tasmanian Athletes and Coaches competing at a Junior or Open Competition level to travel with an international team competing overseas.
Funding provided to successful applicants will be up to a maximum value of $500. Applicants are only eligible for one grant per financial year.
In the case of five or more applicants for the one event, funding will be limited to $2,000 for any one event, with the funds being divided equally between the successful applicants.
The sport and National Sporting Organisation (NSO) must be recognised and endorsed by the Australian Sports Commission (ASC).
Only support for recognised international events will be considered. Applicants must be able to demonstrate their selection for the event is based on merit and is fully endorsed by the NSO concerned. The application must be accompanied by a Statement from the NSO/SSO detailing all fund sources available to the applicant.
Individuals already receiving funding from the Tasmanian Institute of Sport will not normally be eligible to receive assistance through this program.
Applications must be received and assessed prior to departure for the nominated event. Retrospective claims for assistance will not be considered.
Applications to the fund are on a first in basis and availability of support is available until the annual allocation of funds is exhausted.

I understand that no retrospective applications will be accepted. *

First Name *

Last Name *

Gender *

Age *

Date of Birth *

Athlete Email *

Mobile *

Alternative Phone

Address *

Street address *

City *

State *

Postcode *

Sport *

Competition Level *

JuniorOpen

Parent Name *

Competition Name *

Position in Team *

AthleteCoach

Parent Email *

Competition Venue *

Competition Start Date *

Competition End Date *

Number of Countries Competing *

Number of Australian Team Members *

Supporting Your Application

Letter or documentation from your National Sporting Organisation (NSO) advising of selection and selection process.
Documentation from your NSO setting out the total cost of competing and all funds sources available to the applicant.

Documentation from NSO for Selection *

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NSO Total Cost for Applicant *

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Personal Information Protection Statement
Personal information, including health, performance and sensitive information will be collected from you for the purpose of undertaking the Tasmanian Institute of Sport’s activities. Your personal information will be only used for the primary purpose for which it is collected and may be disclosed to contractors and agents of the Department of State Growth, the Australian Institute of Sport, Sport Integrity Australia or any other State, Territory or national sporting organisations or affiliated bodies, and other organisations authorised to collect, store, and use it. Your basic personal information may be disclosed to other public sector bodies where necessary for the efficient storage and use of the information. Personal information will be managed in accordance with the Personal Information Protection Act 2004 and may be accessed by providing a written request to the Department of State Growth and you may be charged a fee for this service.

Tasmanian Institute of Sport
(03) 6777 2828
PO Box 93, Prospect, Tasmania 7250

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