Regional Sport Bursary Fund Personal detailsGiven name * Family name * Student email address * This must be your La Trobe student email address e.g. 12345678@students.latrobe.edu.au EligibilityCourse name * Campus * -- Please Select --Albury-WodongaMilduraSheppartonOnline Do you reside in a regional, remote, or very remote area? * Yes No Additional information and supporting documentsBriefly describe how the Regional Sport Bursary will contribute to your participation in local organised sport or active recreation. * For sport related contributions, your statement should include the sport and club you represent.* For active recreation contributions, your statement should include the name of the health-club, subscription, or membership. (Maximum 500 words) Provide evidence of purchase with a receipt or tax invoice * (doc, docx, pdf, jpg or png file type only. Max 8MB file size) Validation Privacy collection notice La Trobe University respects the privacy of your personal information. We, the La Trobe Sports team collect personal information about you to fulfil the awarding of the Regional Sport Bursary. We will only use this information for this purpose. If your personal information is not provided to us, then you will not be eligible for this particular bursary. You may have the right to access the personal information we hold about you subject to any exemptions in relevant laws, by contacting us at sport@latrobe.edu.au