Sports Academy Form Test

Step 1 of 8

Parent/caregiver 1 details
*Parent/Guardian 1 will receive all correspondence and will be the emergency contact.
Parent/caregiver 1 name(Required)
Prefix First Last
Address(Required)
Street address Address line 2 Suburb Postcode

Address(Required)
Street address Address line 2 Suburb State / Province / Region Postcode Country

Phone(Required)
Alternate contact number
Email(Required)

Parent/caregiver 2 details
Parent/caregiver 2 name
Prefix First Last
Address
Street address Address line 2 Suburb Postcode

Address
Street address Address line 2 Suburb State / Province / Region Postcode Country

Phone
Alternate contact number
Email

Preferred sport 1 details
Preferred sport 1(Required)
Please select your first preference for the sport in which you believe you meet Henley Sports Academy’s selection criteria.

Alternate

Athletics

Basketball

Cricket

Dance

Football Boys

Football Girls

Hockey

Netball

Soccer Boys

Soccer Girls

Surf Life Saving

Tennis
Current club(Required)
Grade/division(Required)
Playing positions/times and distances/rankings(Required)
Individual honours
Are you a state or national team representative?(Required)
State team representative
National team representative
No
Which year did you you join the state team and in which age group?(Required)
Which year did you you join the national team and in which age group?(Required)
Were you at a different club one year ago?(Required)

No, I was at the same club

No, I wasn’t at any club

Yes, I was at a different club one year ago
Club 1 year ago(Required)
Grade/division(Required)
Playing positions/times and distances/rankings(Required)
Individual honours
Were you a state or national team representative?(Required)
State team representative
National team representative
No
Which year did you you join the state team and in which age group?(Required)
Which year did you you join the national team and in which age group?(Required)

Preferred sport 2 details
Preferred sport 2(Required)
Please select your second preference for the sport in which you believe you meet Henley Sports Academy’s selection criteria.

I don’t have a second preference

Alternate

Athletics

Basketball

Cricket

Dance

Football Boys

Football Girls

Hockey

Netball

Soccer Boys

Soccer Girls

Surf Life Saving

Tennis
Current club(Required)
Grade/division(Required)
Playing positions/times and distances/rankings(Required)
Individual honours
Are you a state or national team representative?(Required)
State team representative
National team representative
No
Which year did you you join the state team and in which age group?(Required)
Which year did you you join the national team and in which age group?(Required)
Were you at a different club one year ago?(Required)

No, I was at the same club

No, I wasn’t at any club

Yes, I was at a different club one year ago
Club 1 year ago(Required)
Grade/division(Required)
Playing positions/times and distances/rankings(Required)
Individual honours
Were you a state or national team representative?(Required)
State team representative
National team representative
No
Which year did you you join the state team and in which age group?(Required)
Which year did you you join the national team and in which age group?(Required)

Referees and supporting documents
Academic referee
Please provide details of a referee who we can speak to about your academic and personal attributes.
Name(Required)
First Last
Position held(Required)
Phone(Required)
School Reports
Please upload all school reports for the previous two years(Required)
You should upload at least four reports (eg one per semester over two years).

Drop files here or

Max. file size: 50 MB.

Sport 1 Coach Contact Details
Please provide details of your coach. We may contact them to speak to about your sporting and personal attributes. (Coached you within the last 12 months).
Name(Required)
First Last
Position held(Required)
Phone(Required)
Sport 2 Coach Contact Details
Please provide details of your coach. We may contact them to speak to about your sporting and personal attributes. (Coached you within the last 12 months).
Name(Required)
First Last
Position held(Required)
Phone(Required)

Application fee
Application fee(Required)

I acknowledge that I am required to pay a non-refundable $20 application fee by the application due date. I understand that my application will not be accepted if this fee has not been paid by the application due date.
There are two options to make the payment. You may pay through the Qkr! app (search for Henley High School and then select Sports to find the application fee) or by contacting the Finance Team on 08 8355 7008.
Applications from international students do not incur an application fee.

Please click next to proceed with your application.

Student Athlete and Parent Contract and Declaration
Student Athlete and Parent Contract and Declaration(Required)
I have read and understand the Henley Sports Academy selection criteria:

High level of ability and performance in both a training and competitive environment

Positive and enthusiastic attitude to support their personal development

High potential for future development and growth in their identified sport

High level of coachability that enables all individuals to seek and accept a variety of feedback

High level of ability to improve their skills and knowledge in all aspects of their schooling

Provide a positive role model for others in their approach to learning, school rules and behaviour

Demonstrate academic effort and achievement

Must play/compete for a peak body affiliated or community club

I understand that the Henley Sports Academy is an optional program, which is exclusive to Henley High School.

I understand that there is an annual enrolment fee to be part of the Henley Sports Academy.

I understand that this contract and declaration constitutes a commitment to pay the annual levy for the Henley Sports Academy for a minimum of 3 years whilst enrolled at Henley High School. I am aware that I will be invoiced for the remainder of my contract if I choose to leave the Academy or are removed due to not meeting the expectations through the probation process. Exiting the Academy is done in consultation with the Assistant Principal Director for Sport.

I understand that where payment has not been received by the due date specified that Henley High School’s debt recovery policy will apply.

I declare that the information provided in this application is, to the best of my knowledge, accurate and complete. I recognise that, should statements in this application prove to be false or misleading, any decision made as a result of this application may be reversed.

I understand that there is no automatic entry to a school for children whose older siblings gained entry through a selective entry special interest program.

I understand my responsibilities regarding the Henley Sports Academy.

I acknowledge that I understand and agree to the Student Athlete and Parent Contract and Declaration.
Student athlete name(Required)
First Last
Parent/caregiver name(Required)
First Last

Once you click submit please remember to do the following :

Pay the application fee (if applicable) before applications close.

Advise your coach that they may be contacted regarding your application.

Keep an eye out for any follow up emails from us which may include trial information and additional forms that may need to be completed.

CAPTCHA

Student athlete details

Medical Information

Medical History

Parent/caregiver 1 details

Parent/caregiver 2 details

Preferred sport 1 details

Preferred sport 2 details

Referees and supporting documents

Academic referee

School Reports

Sport 1 Coach Contact Details

Sport 2 Coach Contact Details

Application fee

Student Athlete and Parent Contract and Declaration