Grants Portal Please complete all required fields in the form below and ensure all information is accurate before submission. SG603 - Disability Sports Scholarship Application Step 1 of 4 25% Part A – Your DetailsAmount Requesting(Required)Enter amount requesting in numerical values only. For example: "20000" for $20,000.1. Name of Organization(Required)Mailing Address:(Required)Phone(Required)Fax(Required)Email(Required) Enter Email Confirm Email Contact Person:(Required)Position in the Organization:(Required) Part B – Funding Details2. Name of recipient:(Required)3. Bio Data of recipient and ranking (please attach under "attach documents" 4. How did your organization select the above recipient?(Required)5. This application is for a(Required) New Full time scholarship award Part-time scholarship award 6. How long is this scholarship for?(Required)7. Venue (College, University or Private High School) intended recipient to undertake this scholarship?(Required)8 a. Invitation from the Institution:(Required) Yes No Please attach copy of the invite from the Institution(Required) Drop files here or Select files Max. file size: 32 MB. 8b. How many athletes are selected for the Scholarship?(Required)8c. Please Select The Training Program:(Required) Elite Athlete High Performance Coaching Technical Official 9. Dates of placement:(Required)10. Has the recipient confirmed placement?(Required) Yes No If No – when does recipient intended to have this confirmed.(Required)11. Will the recipient undertake any academic studies.(Required) Yes No 12. Justification for amount requesting: What was the outcome of your 2-year previous funding’s?(Required)13. Is the recipient receiving any other form of scholarship for this specific period?(Required) Yes No If Yes – indicate from who and amount?(Required) Part D – Application ChecklistWith your completed and signed application form SG603 you must include:(Required) Full participant name, Bio Data and selection criteria Selection Panel Listing with processes and protocols Full Budget Breakdown of This grant request 4 Year Development Plan Select AllContinue to attachment on the next page. Part D – Application Checklist (Attach Documents)Full participant name, Bio Data and selection criteria(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Selection Panel Listing with processes and protocols(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Full Budget Breakdown of This grant request(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. 4 Year Development Plan(Required) Drop files here or Select files Accepted file types: pdf, jpg, doc, docx, Max. file size: 32 MB. Any Other Documents: Drop files here or Select files Max. file size: 32 MB. Part E – Application Checklist (Officer Submitting Proposal)Name of Officer Submitting Proposal(Required)Position in the Organization(Required)Date of Submission(Required) DD slash MM slash YYYY Phone(Required)Fax(Required)Email(Required) Applicant Name (Digital Signature)(Required)Typing your name acts as your digital signature confirming the information provided is accurate.Declaration(Required) I confirm that the information provided in this application is true, complete, and accurate to the best of my knowledge. Before submitting this application, please review the Privacy Policy and Terms & Conditions. By submitting this form, you confirm that you have read and agree to these policies and that the information provided is accurate.