Application Form Adastra Scholarship Application Use this form to apply for the Adastra Scholarship. Step 1 of 6 16% Your DetailsName* First Last Address* Street Address Address Line 2 City ZIP / Postal Code Phone Number*Email* Enter Email Confirm Email Date of Birth* Discipline*SportMusic / Performing ArtsDiscipline NamePlease select a discipline from the following list. If your discipline is not on this list, please enter it in the box below.ArcheryAthleticsBadmintonBaseballBasketballBMXCanoeCricketCyclingEquestrianFootballGolfHockeyInline HockeyLacrosseMotocrossNetballRock climbingRowingRugbySailingSnow SkiingSprint kayakingSquashSurf Lifesaving/triathlonSwimmingSynchronised SwimmingTennisTrap ShootingTriathlonVolleyballWakeboardingWrestlingOtherDiscipline NamePlease select a discipline from the following list. If your discipline is not on this list, please enter it in the box below.Classical singingClassical VoiceDance BalletSinger/songwriter etc.ViolinVoice - Musical TheatreVoice musical theatreOtherDiscipline Name (detail)Please enter your discipline name here. For example, if you selected Cycling above, you may wish to enter a more detailed Discipline such as BMX or Track here.RankingTeamResultsPlease list any results you have here. You can click the + button to add more results. Short Term Goals*Long Term Goals*Post Title Social Media LinksIf you have any public social media pages, please list them here.Type (i.e Facebook or Twitter)URL to Page Image of you*If you are successful with the scholarship, we will need an image of you. Please upload a jpg image here.Your BioWrite around 300 words describing you as a person, to be used as a bio on the website if you are successful. Are you currently studying?*YesNoName of academic institution*You said that your are currently studying. What is the place that you are studying at?Name of Degree / Programme*ReferencesPlease list references including contact details in this box. Are you receiving or have you applied for any other scholarships or grantsYour Bank Account* Are you currently employed?*YesNoDo you consider yourself to be a professional?*YesNoAre you carded under the NSO High Performance Programme? If so, what level?Do you have any sponsorship agreements?How did you hear about Adastra?*Please sign*The information I have supplied is true and correct, and I am eligible to apply for this scholarship (as outlined on the Scholarship page).
