Youth National and International Sports Donation 2023-24

This is a preview of the Youth National and International Sports Donation form. When you’re ready to apply, click Fill Out Now to begin.
 

Individual Donation Application Form

* indicates a required field.

Privacy - Use of disclosure of personal information

Any personal information we collect through victoriapark.wa.gov.au may be used or disclosed for the primary purpose for which it was collected, for example to allow us to answer your enquiry or process your transaction.

Personal information will be dealt with in accordance with the applicable legislation in Western Australia and consistent with any legal obligation.

To view our privacy statement go to victoriapark.wa.gov.au 

Applicant Information

Before completing this application form, you should have read the individual donation guidelines and Policy 114.

Incomplete applications and/or applications received after the closing date will not be considered.

This section of the application form is designed to help you, and us, understand if you are eligible for this donation. It's crucial that you complete these questions before any others to ensure you do not waste your time applying for an unsuitable grant.

Please note to be eligible for the donation program you need to be a local resident of the Town and be aged between 12-25 years of age.

If you have any questions in regards to these eligibility criteria, please contact the grants officer on 9311 8111 or admin@vicpark.wa.gov.au

Confirmation of Eligibility

I confirm that the applicant ...

  • has read and understands the individual donations program guidelines and Policy 114
  • resides in the Town of Victoria Park
  • aged between 12-25 years of age
  • Is not an Elected member, staff of the Town, or their immediate family members
  • produces a letter of selection from their State Sporting Association or National Body
Please select below: * Required
You must confirm that all statements above are true and correct.

Category and level of assistance

Sport

Event

Category * Required
Response required.
If your application is successful, how will you acknowledge the contribution of the Town? * Required
Response required.