The University of Adelaide Home | Faculties & Divisions | Search
Elite Athlete Support & Information Service The University of Adelaide Australia
Printer Friendly Version Print View
You are here: 
text zoom : S | M | L – Login
Further Enquiries

Counselling and Disability Services
Horace Lamb Building
North Terrace Campus
THE UNIVERSITY OF ADELAIDE
SA 5005
AUSTRALIA
Email

Telephone: +61 8 8303 5663
Facsimile: +61 8 8303 6463
Please Note!

Do not hit the 'Enter/Return' key on your keyboard or the 'Back' button on your browser before filling out all fields and submitting the form. Doing so will take you to an error page and when you return to the form all the fields will be cleared.

Elite Athlete Registration Form

To be eligible for the services outlined on this website, you must register with EASIS each year.

Complete all the fields in the following online form before selecting the 'Submit' button or you'll have to re-enter all your details again. It takes about 10-15 minutes to fill out the form properly. If you encounter problems with the form, we suggest you copy and paste the fields into a Microsoft Word document, save it and attach it to email addressed to eliteathlete@adelaide.edu.au.

Your details are verified and you will be contacted to confirm your Elite Athlete status. 

Your name (i.e. given name and family name)
Student number (i.e. a1234567)
Date of birth (dd/mm/yyyy)
Gender Female
Male
Academic program/s
Year level/s
Study load (full-time, part-time) Full-time
Part-time
Contact hours hours
Year first enrolled at the University of Adelaide
Postal address during semester

c/o -:

Number: Street: 

Town/Suburb:

Post Code: State:

Contact number (mobile preferred)
Email address (student address preferred)
Sport(s)
Sport contact person (name and role, e.g. coach, manager, federation administrator)

Name:

Role:

Phone No:

Sports scholarship none
Australian Institute of Sport
State Institute of Sport
Competitive Level (please identify the levels of competition that you have competed at and when)

State competition, in year:
National competition, in year:
Commonwealth Games, in year:
World Games, in year:
Olympic Games, in year:
Paralympics, in year:
Other, in year:
If 'Other', please describe:

What is the highest level of competition you hope to compete at? When? in the year:
Outline your typical training week.
When do you anticipate being absent during the academic year due to any competitions or training camps? 
Please ensure all your details are correct before submitting the form!

Copyright © 2009 The University of Adelaide
Last Modified 08/01/2009 by the Elite Athlete Support Service
CRICOS Provider Number 00123M

top
Copyright | Privacy | Disclaimer