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Individual Achievement Program Application

THE INDIVIDUAL ACHIEVEMENT PROGRAM IS OPEN THROUGHOUT THE WHOLE YEAR

Individual Achievement Program Application

Sorell Council is calling for individuals who have achieved outstanding results in their chosen field to submit an application for funding support. Applications for up to $250 will be accepted.

Personal Details

Name(Required)
Parent/Guardian (if under 18 years)
Postal Address(Required)

Chosen Field

Please select the specific area that reflects your chosen field:(Required)
Max. file size: 64 MB.

BANK DETAILS FOR PAYMENT

Sorell Times, Website, Facebook?

Conditions of Funding

Please tick and sign confirming that you have read and understood the conditions of funding:(Required)
Clear Signature
Name(Required)
Date(Required)
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Date
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