Application – Old Boys Rugby Club

Spirit of Rugby Award Application

Name *

First

Last

Address *

City/Suburb *

State *

Postcode *

Mobile Number *

Date of Birth *

Gender *

Male
Female

Are you of Aboriginal or Torres Strait Islander descent? *

Email *

Rugby Information

Primary playing position/s *

Current High School (Year 12 or Senior Year) *

Current Rugby Club (if applicable)

Please include links to any video footage available during the last 12 months

Please list any Representative Honours (Regional/State/National) you have earned during the past three years

Please list any School, Club or other awards you have earned during the past three years

Leadership – School and Community

Please list any leadership roles you have undertaken at school or in the community during Years 10, 11 or 12 *

Personal Statement

Please provide a brief statement outlining why the Old Boys Rugby Club Spirit of Rugby Award would be of benefit to you *

Please provide a statement from your Club or School coach, outlining why they believe you exemplify the characteristics of leadership and community endeavour that has made rugby a successful global sport *

Click or drag files to this area to upload. You can upload up to 3 files.

Please provide a statement from your School Teacher or Coordinator, outlining why they believe you exemplify the characteristics of leadership and community endeavour that support the Spirit of Rugby *

Click or drag files to this area to upload. You can upload up to 3 files.

Acknowledgement and Privacy Statement

I acknowledge that the information provided by me in this application is true and accurate. I understand that Old Boys Rugby 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 Old Boys Rugby Privacy Policy and that the decision of the Spirit of Rugby Award selection panel is final *

I acknowledge and submit my application with the full support and approval of my parents or guardians