Performance Scholarship Sport Candidates must be competing at National or the highest possible level in at least one sporting activity (team or individual) that is offered within the Pymble sports program and must provide a list of achievements in their sport with proof of performance. All information must be completed and the application returned to the Enrolments Department at the time of the online application. Portfolios can be posted to The Enrolments Department, Pymble Ladies College, PO Box 136, North Ryde BC NSW 1670 or delivered to College Reception. Please affix passport sized photo APPLICANT S DETAILS Full Name:...Date of Birth:... Current School:...Current Year:... Parent / Carer s Name:... Address:... Phone:...Email:... SPORTING INFORMATION Main Sport:...Club:... PERSONAL BEST TIMES / DISTANCE / SCORES OVER THE LAST 18 MONTHS Event Times / Distance / Scores Date achieved Meet / Event where achieved Evidence provided? Main Sport:...Club:... PERSONAL BEST TIMES / DISTANCE / SCORES OVER THE LAST 18 MONTHS Event Times / Distance / Scores Date achieved Meet / Event where achieved Evidence provided? 1/5
STATE LEVEL (eg NSW U/14 team) NATIONAL TEAM (eg Australian U/23 School Girls Team) State Ranking (EG 3RD 14YRS 50M FREESTYLE) National Ranking (EG. 1ST 12 YRS 100M SPRINT) RANKINGS / REPRESENTATIVE HONOURS OVER THE LAST 18 MONTHS Highest Repetitive Achievements (evidence must be supplied) TEAM SPORTS Highest Repetitive Achievements (evidence must be supplied) INDIVIDUAL SPORTS OUTLINE ANY OTHER SIGNIFICANT SPORTING RESULTS OVER THE LAST 18 MONTHS 1 2 3 4 OUTLINE ANY OTHER CO-CURRICULAR ACTIVITIES COMMITMENTS 1 2 3 4 SHORT AND LONG TERM GOALS Sporting goals short term: Sporting goals long term: Academic goals: Before School CURRENT TRAINING TIMETABLE FOR ALL SPORTS AND ACTIVITIES Monday Tuesday Wednesday Thursday Friday Saturday During School After School 2/5
Have you sustained any injuries or illnesses over the past 12 months that have affected your sporting performances? Why should you be considered for a Performance Scholarship Sport at Pymble Ladies College? ATTACHMENT / EVIDENCE CHECKLIST REQUIRED DOCUMENTATION TICK Personal Best Times / Distances / Scores Sport 1 Personal Best Times / Distances / Scores Sport 2 Rankings and Representative Honours Contact details of two referees (1 must be a coach / sports teacher) DECLARATION I understand that if I am selected as one of the recipients of a Performance Scholarship Sport at Pymble Ladies College, the scholarship is conditional on the following: 1 A scholarship holder will endeavour to maintain an appropriate level of academic achievement. 2 In all areas of school life, a scholarship holder must be a positive role model and demonstrate substantial commitment to sport and fully support the ethos and values of the College. 3 A scholarship holder will be expected to represent the school in her main sport and any other sports she is selected in. 4 A scholarship holder will have access to a number of high quality coaches at the school and will be expected to attend associated training sessions, camps and College sporting events. When a scholarship holder is selected to represent the College, she must honour her commitment or discuss a potential conflict with the Director of Sport. Leave will be granted at the discretion of the Director of Sport. 5 A scholarship holder s performance will be reviewed annually in terms of her participation in College sport and her all round performance in both sport and academic studies. I declare that to the best of my knowledge and belief, the information I have supplied in this application is correct and complete. I understand that if I provide incorrect or incomplete information this may result in the cancellation of any offer made by Pymble Ladies College. I understand that if Pymble Ladies College becomes aware of, or has reason to believe I have provided false or misleading information in my application, my eligibility will be reassessed. I recognize it is my responsibility to provide all necessary documentation. We, the undersigned, agree the information provided in this application is not false or misleading and is a true representation as at the date below. Candidate s Signature:...Date:... Parent / Carer Signature:...Date:... 3/5
COACH S REFERENCE 1 The referees reports must be completed by a school coach or teacher, or a recognised club or regional, state, national or international coach in the candidate s chosen activity. The references MUST accompany the candidate s application which must be lodged at the time of online registration. Candidate s Name:... Sport:... To the Coach / Teacher, This reference form is confidential and strictly for the use of the Sports Department at Pymble Ladies College in determining the candidate s suitability for a Performance Scholarship Sport at the College. Please note that the conditions of the Performance Scholarship Sport do not prevent your athlete from taking private coaching outside the College. It is expected that she will actively participate in her sport at the College. Coach s Name:... Address:... How long have you coached the candidate?... In your opinion, what are her particular strengths?... And weaknesses?... Why should she be considered for a Performance Scholarship Sport?... Please note that the candidate must be also present evidence of participation at a high level in her chosen sporting field. Examples may include media clippings, webpage result links, State or Nationally accredited sporting bodies official results from carnivals or matches and / or photographic or video evidence. Coach s Signature:... Date:... 4/5
COACH S REFERENCE 2 The referees reports must be completed by a school coach or teacher, or a recognised club or regional, state, national or international coach in the candidate s chosen activity. The references MUST accompany the candidate s application which must be lodged at the time of online registration. Candidate s Name:... Sport:... To the Coach / Teacher, This reference form is confidential and strictly for the use of the Sports Department at Pymble Ladies College in determining the candidate s suitability for a Performance Scholarship Sport at the College. Please note that the conditions of the Performance Scholarship Sport do not prevent your athlete from taking private coaching outside the College. It is expected that she will actively participate in her sport at the College. Coach s Name:... Address:... How long have you coached the candidate?... In your opinion, what are her particular strengths?... And weaknesses?... Why should she be considered for a Performance Scholarship Sport?... Please note that the candidate must be also present evidence of participation at a high level in her chosen sporting field. Examples may include media clippings, webpage result links, State or Nationally accredited sporting bodies official results from carnivals or matches and / or photographic or video evidence. Coach s Signature:... Date:... 5/5