Local Sporting Champions Grant

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address*

Phone Number*

Should you be successful in obtaining a Magpies Community Grant, please provide the bank details that you wish the grant to be credited into.

Bank Account Details

Account Name BSB Account Number

I attended a...*

as an...*

Name of the sporting event*

What date was the sporting event?*

Where was the sporting event held?*

What sport did you represent at the sporting event?*

Tell us about your sporting achievements that lead you to attend the sporting event?*

Explain the costs that you incurred to attend the sporting event.*

Please tell us how you fared at the event?*

Please attach documentation from a Coach, Manager or your sports Governing Body that confirms your participation at the event*

Drop files here or

Accepted file types: jpg, png, gif, pdf, doc, xls, Max. file size: 50 MB.

Please attach a good quality, high resolution photo of yourself in your chosen sport. No screenshots or zoomed in photos accepted.*

Max. file size: 50 MB.

Consent*

Yes, I agree

Nominees must be willing to have photography/videography taken of them and participate in an interview for Magpies Sporting Club promotional purposes if required.

Lodging an application does not guarantee funding. Funding is extremely limited and highly competitive – all eligible applicants will not be funded and those successful may not receive the full amount requested.

ACKNOWLEDGEMENT OF COUNTRY

POLICIES