2012/13

Western Australian Institute of Sport

Individual Athlete

Support Program

Information and Application Form

Contents

1.0Introduction

2.0IASP Objective

3.0Application Process & Dates

4.0General Eligibility

5.0IASP Categorisation

6.0Selection Guidelines

7.0Further Information

2012/13 Individual Athlete Support Program Application Form

1.0Introduction

The Western Australian Institute of Sport (WAIS)has been in operation for more than 25 years. During this time,WAIS has continually evolved to ensure that it remains capable of achieving its purpose –

“To provide opportunities for talented Western Australian athletes to achieve excellence in elite sport with support from their home environment”

To fulfil its purpose, WAIS provides a range of programs and services to WA athletes to enable them to reach their potential at the national and international level.

The goals of WAIS are two fold:

  1. To maximise Western Australian representation on Australian Teams.
  2. To enhance the performance of Australian Teams.

In sports where WAIS does not have a sports program, WA elite athletes competing in Olympic and Paralympic events can apply for support through the Individual Athlete Support Program (IASP).

2.0IASP Objective

The objective of the IASP is to provide agreed support to WA elite or emerging elite athletes to maximise their opportunity to assist WAIS achieve its purpose.

3.0Application Process & Dates

The application process is as follows:

Application forms completed, signed & forwarded to SSO Wednesday 26 September 2012

SSO to forward application to WAIS Wednesday 10 October 2012

Successful applicants notified via mail/email/sms Wednesday 31 October 2012

Commencement of 2012/13 Individual Athlete Support Program Tuesday 1 November 2012

Please note: Athletes must confirm Scholarship by meeting all requirements by 30 November 2012

4.0General Eligibility

Who is eligible for IASP?

  • IASP is available to athletes registered with a recognised WAState Sporting Organisation (SSO) in Olympic and Paralympic disciplines.
  • Applicants must be Australian Citizens and be eligible and available for selection to national teams competing at major international competitions.
  • IASP is available to athletes who are competing in open competition at an international level orare projected to compete at this level in the near future (1 – 3 years).

5.0IASP Categorisation

There are three categories of scholarshipallocated according to an athlete’scurrent and future forecast performance standard. A schedule of benefits will be individualised and offered as per the IASP categorisation. These categories are generically defined as follows:

WORLD CLASS ATHLETE / International competitor in an individual athlete event with a current world ranking of 1-8 OR a member of a national team which has a current world ranking of 1-4 and is considered capable of maintaining this level of performance.
INTERNATIONAL CLASS ATHLETE / International competitor in an individual athlete event OR a member of a national team at benchmark competitions and is considered capable of retaining or progressing their level of performance.
DEVELOPING INTERNATIONAL CLASS ATHLETE / Athlete with the capability to achieve at least international class athlete status within 1-3 years.

6.0Selection Guidelines

The following selection guidelines will be used to assess each application. Please note that the performance criteria outlined below should not be viewed in isolation, as ALLselection guidelines will be taken into account.

  1. Athletes will be measured against the following performance criteriain the past 12 months:
  • International competition performance at the sport’s benchmark event (e.g. World Championships) in Olympic/Paralympic classes;
  • International competition performance at otherOlympic/Paralympic events;
  • National competition performance at the most recent benchmark event (i.e. National Championships) in Olympic/Paralympic classes;
  • International/National ranking as a result of performances achieved.

2. Other important criteria against which an application will be assessed include:

  • The assessment of the relevant SSO and National Sporting Organisation (NSO) as to the performance level, national ranking and international ranking of the athlete and/or the prospect of selection to a national teamwithin 1-3 years.
  • An assessment of how well the athlete has and will evidence the WAIS values of People and Excellence in their pursuit of high performance outcomes.
  • The number of competitors and countries competing in the sport at an international level.

7.0 Further Information

For further information about the WAIS and the IASP, please contact:

Western AustralianInstitute of Sport
Challenge Stadium
PO Box 139
CLAREMONT WA 6910 / Phone:
Fax:
Website:
Contact / 9387 8166
9383 7344

Martin FitzSimons

2012/13 Individual Athlete Support Program Application Form

APPLICATIONS TO BE RECEIVED BY YOUR STATE SPORTING ORGANISATION
BY WEDNESDAY 26 SEPTEMBER 2012
Applicants should read the WAIS Individual Athlete Support Program, General Eligibility and Selection Guidelines prior to completing this Application Form.
SECTION 1 – SPORT AND EVENT
Sport: / Your Olympic/ParalympicEvent is?
SECTION 2 – PERSONAL DETAILS
First Name: / Surname:
Date of Birth: / Age: / Sex: (Please circle) / Male / Female
Current Address:
State: / Post Code:
Telephone: (H) / (W) / (Mob)
Email address:
SECTION 3 – PERSONAL COACH DETAILS
First Name: / Surname:
Current Address:
State: / Post Code:
Telephone: (H) / (W) / (Mob)
Email address:
SECTION 4 – ELIGIBILITY AND GENERAL INFORMATION
Please answer all questions by placing a tick (√) in the appropriate box or by providing the relevant information.
QUESTION 1
Are you currently a scholarship holder with the Australian Institute of Sport (AIS) or another State or Regional Institute/Academy? / YES / NO
If Yes, please specify which Institute/Academy:
QUESTION 2
Have you previously held a scholarship with the Australian Institute of Sport (AIS) or another State or Regional Institute/Academy? / YES / NO
If Yes, please specify the scholarship year/s and which Institute/Academy:
QUESTION 3
Do you receive any financial support from: (please tick the appropriate boxes)
National Sporting Organisation / YES / NO / $
Australian Government Sport Training Grant / Direct Athlete Support / YES / NO / $
State Sporting Organisation / YES / NO / $
Other Scholarship/Fund / YES / NO / $
QUESTION 4
YES NO
/ YES / NO
SECTION 5 - REPRESENTATIVE AND RANKINGS DETAILS
QUESTION 1
Have you represented Australia at your sport’s pinnacle event (eg. World Championships/Olympic/Paralympic Games) in the past 3 years? (Please tick) / YES / NO
If you have answered Yes, please tick the relevant box below to indicate the years of representation.
2012 / 2011 / 2010
Australian Junior
Australian Senior
QUESTION 2
At the end of the most recent competition season, did you have an Australian ranking? / YES / NO
If you have answered Yes, please fill out the table to indicate your ranking in each category / event.
CATEGORY / EVENT / AUSTRALIAN RANKING
Please specify age group
(e.g. Open, U18) / (e.g. 100m sprint / 80kg class etc) / 2012 / 2011 / 2010
QUESTION 3
At the end of the most recent competition season, did you have an International ranking? (please tick) / YES / NO
If you have answered Yes, please fill out the table to indicate your ranking in each category / event.
CATEGORY / EVENT / INTERNATIONAL RANKING
Please specify age group
(e.g. Open, U18) / (e.g. 100m sprint/80kg class etc) / 2012 / 2011 / 2010
It is essential that you provide details of the person at the National Sport Organisation with whom the above ranking/s can be verified; and other information in support of your application can be supplied.
Organisation Name: / Contact Name:
Website Address: / Business Phone:
SECTION 6 –2012/13 PERFORMANCE DETAILS
Please list your performances in all major competitive events attended during the 12 months- 1 November 2011 to 31 October 2012.
Particular emphasis should be placed on performances at Pinnacle International, Other International and National events in that order.
Please rank in order what you consider to be your best 5 performances (1-5, 1 being your best performance).
Date / Competition Name / Location / Event / Category / No of Competitors
in your event / No. of
Countries in your event* / Result / Performance Ranking
1 Jan 12 / World Championships / Sydney, Aust / 100m / Open Final / 32 / 23 / 9.75s, 2nd place
(e.g. Time, distance, points, score) / Please rank the Top 5 performances
(1-5)

* If less than 20 countries, an explanation of Australia’s team or individual qualification for the tournament is required

- 1 -Page 8

SECTION 7 - INJURY AND ILLNESS
Did you suffer any major injuries or illnesses that prevented you from training/competing in 2011/12?
If so, please provide the following details.
Nature of illness/injury / Treatment received / Period of time off full training/competition / Current status of injury/illness
SECTION 8–DECLARATION
I wish to be considered for IASP and declare that all the information submitted on this application form is correct and complete. I understand that WAIS reserves the right to vary or reverse any decision regarding IASP made on the basis of incorrect or incomplete information.
Signature of Applicant: / Date:
Applicants Under 18 years of Age
For applicants under 18 years of age, the parent, guardian or custodian who is the first legal point of contact must sign below.
Name:
Address:
State: / Post Code:
Relationship to Applicant:
Signature: / Date:

TO BE COMPLETED BY SSO

SECTION 9 – STATE SPORTING ORGANISATION SUPPORT
  • No application will be considered without this section being completed by the appropriate official of the SSO.
  • SSO’s are requested to prioritise all applications received before submission.
  • The same official for the SSO should complete this form for all athletes.

State Sporting Organisation:
Name of SSO Contact:
Title:
Phone (BH): / Email: / Mob:
Name of IASP Applicant:
Comments in Support of Applicant:
No. of Applications received by the organisation
This Applicant is ranked:
i.e. – If there are five applications,
1 = most supported and 5 = less supported
WAIS operations are guided by two key values – PeopleExcellence, requiring a respect for others and striving to do the best you can at all times.
Please rate the applicant in these areas on a scale of 1-5 with 1 = low, 5 = high
People 1 2 3 4 5 Excellence 1 2 3 4 5
I certify that all information in this application and in any attachments are to my knowledge true and correct in every detail.
Signature: / Date:
Please ensure application forms are submitted to WAIS from the SSObyWednesday 10 October 2012:
Western AustralianInstitute of Sport
PO Box 139
CLAREMONT WA 6910 / Western AustralianInstitute of Sport