Application Form Application IDApplied?YesNoLead Source*ApplicationStudent First Name*Student Last Name*Student Mobile (Must have 10 digits eg: 0412345678)*Student Email* Program Interested In*Basketball NT Sports Development ProgramNorthern Territory Thunder Sports Development ProgramFootball Federation NT Sports Development ProgramCricket Australia Sports Development ProgramNetball NT Sports Development ProgramNRL NT Sports Development ProgramTennis NT Sports Development ProgramHow did you hear about SEDA?*FacebookEmailInstagramLetterNewspaperOtherParent of SEDA studentRadioSEDA StudentState Sporting Body Website (e.g Cricket Australia, AFL)TVTeacher/SchoolTwitterYour sport club/associationCareers ExpoOtherOther heard about Program State (Hidden)NT Program Personal DetailsDate of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleOtherResidential Address* Student Address Line 1 Student Address Line 2 Student Suburb Student Post Code Student address stateNTQLDNSWACTVICTASSAWAStudent Home PhoneStudent Current Year Level*9101112Are you (or the student) of Aboriginal and/or Torres Strait Islander origin?NoAboriginalTorres Strait IslanderAboriginal and Torres Strait IslanderThe response to this question allows SEDA to ensure that Aboriginal and Torres Strait Islander families have an opportunity to access relevant services and the National Indigenous Education and Leadership Program.Are you an Australian Citizen, New Zealand Citizen or an Australian Permanent Resident?*YesNoStudents must be an Australian or New Zealand citizen or Australian Permanent Resident to be eligible for any of the SEDA College programs. Individuals who are unable to meet this requirement due to their individual circumstances will be considered on a case-by-case basis. Please call 1300 117 332 for further information. Parent/Guardian DetailsMain Contact First Name*Main Contact Surname*Address same as student? Yes Residential Address Parent/Guardian Address Line 1 Parent/Guardian Address Line 2 Parent/Guardian Suburb Parent/Guardian Post Code Parent address stateNTQLDNSWACTVICTASSAWAParent/Guardian Home PhoneParent/Guardian MobileParent/Guardian Email* Enter Email Confirm Email Application QuestionsComment on why you want to enrol at SEDA. What do you think you would gain from coming to SEDA?*SEDA provides students with many opportunities for possible employment in a variety of industries. What industries are you interested in and what are your future career aspirations?*Provide examples of the types of activities you are involved with outside of school. Explain why these activities are important to you.*How do you manage these activities with study or job commitments?*Describe your involvement in sports including any coaching, umpiring, events or playing.*Are there any other achievements you would like to mention in your application?* Confirm DetailsSEDA is committed to protecting your privacy and personal information. We collect, hold and disclose your personal information to assist us in carrying out our business, including third parties, who provide administrative and operational services. SEDA will take reasonable steps to protect the security of your personal information that we hold, including both paper and electronic records. {all_fields}