Regional Judging Scholarships Application Form (WAG)

Regional Judging Scholarships Application Form (WAG)
Event Details
Event
Event Location
Event Date/s
Applicant Details
Name

First Name Last Name
GA Technical ID number
Phone Number

Area Code Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Scholarship Eligibility Details

NB - scholarship money will only be remitted with appropriate tax receipts for course costs/flights/accommodation etc.
- Hold a minimum Beginner judging accreditation if using Scholarship to attend an Intermediate judging course
- Hold a minimum Intermediate judging accreditation if using Scholarship to judge at a Gymnastics WA Event
- Reside outside the specified Perth Metropolitan area
Current Accrediation
Number of years as a judge
Previous and current club involvement
How will this scholarship assist your development as a judge?
What are your goals with judging and how would a scholarship help you to achieve this?
If you are to attend an event in Perth, which levels will you be judging?
Please tick here to confirm the above noted details are a true representation of your situation and intent

I confirm the above details are correct
Should be Empty:

Event Details