RICHMOND INSTITUTE OF SPORTS LEADERSHIP
APPLICANT PROFILE FORM
Campus Options
Campus*
  1. Melbourne Campus:
    - (SIS50321) - Diploma of Sport
    - (BSB50420) - Diploma of Leadership and Management
Program Awareness
How did you hear about the program?*
Have you attended an open day?*
Applicant Details
First Name*
Surname*
Address*
City*
State*
Postcode*
Home Phone*
Mobile*
Email*
(Please use your personal email that you will be able to access next year – not your school email address)
DOB*
Gender*
Are you of Aboriginal or Torres Strait Islander origin?*
School*
Current Year Level*
(If you have completed Year 12, please state year of completion)
What sport/s do you play or are you involved with?*
Sporting Club and/or Leisure Memberships*
Volunteer And Leadership Experience
In this section describe any previous and/or current volunteer and leadership experience you have within your local community. This can include involvement in school, extra-curricular or local community activities):*
Sporting Background
In this section describe your previous background in sport including any relevant achievements:*
Current Sporting Commitments
In this section describe your current sporting commitments, training schedule and other relevant information:*
Future Sporting Aspirations
In this section describe your future sporting aspirations including any short and long-term goals:*
Education Information
In this section describe your current education commitments including subjects studied in VCE/HSC, previous courses or certificates completed (e.g. Certificate III in Fitness) and any other accreditations you have (e.g. Level 2 First Aid):*
Future Education & Career Aspirations
In this section describe your potential future education aspirations (e.g. University course) and desired employment pathway:*
Applicant Suitability
In this section describe why you would like to be a part of the Richmond Institute of Sports Leadership and discuss why you believe you are suitable for this program:*
Parent/Guardian Details
First Name*
Surname*
Referee Details(Select a coach, teacher or mentor to be a referee for you and provide their details below)
First Name*
Surname*
Work Phone*
Mobile*
Email
Relationship Description*
School Careers Advisor Details
First Name*
Surname*
Work Phone*
Mobile*
Email*
Referee & Careers Advisor Contact Consent
I give consent to the Richmond Institute of Sports Leadership to contact both my referee and school careers advisor.*
Other Relevant Information
In this section please provide any further information that you would like us to know:
Photography & Filming Consent
By selecting 'Yes' to the following Photography & Filming Consent:
  • I acknowledge and consent to the Richmond Football Club (including its education division, Richmond Institute) (RFC) using my name, likeness, image and/or voice for the RFC’s promotional material (in any media), such as photographs, video recordings, sound recordings, testimonials or other forms of marketing material that may be shared on the RFC’s social media channels and richmondinstitute.com.au (Marketing Material) for a unlimited period of time.
  • I acknowledge that:
    • I will not receive any remuneration or other benefit from the RFC for appearance in such Marketing Material; and
    • the RFC will own the copyright in all Marketing Material
Do you give Photography & Filming Consent?*
Questions
If you have any questions regarding the course please contact:

- Steven Terzakis - sterzakis@richmondfc.com.au
- Olivia Steedman - osteedman@richmondfc.com.au
Privacy

All personal information you provide will be used by the Richmond Football Club in accordance with the Club’s privacy policy. By providing your personal information, you agree to such use by the Richmond Football Club.