Paralympic Youth Scholarship Application
Personal Information
Full Name
Date of Birth
Email
Phone Number
Home Address
Eligibility Information
Type of Disability
Classification (if applicable)
Are you currently enrolled in school or college?
Yes
No
Sporting Information
Sport(s) Participated
Level of Participation
Local
Regional
National
International
Coach's Name
Club/Organization Affiliation
Application Details
Why are you applying for this scholarship?
Describe your sporting achievements or goals
Any additional information you wish to share