RCIK Application Form

Phase 1 – RCIK application form

This form must accompany your RCIK application.
Part 1 is a cover sheet that you complete once only.
By ticking the modules below, you can apply for RCIK of one or both modules listed.
Refer to RCIK Information Guide for assistance.

1Director Information

2Supporting Evidence

Name

This field is for validation purposes and should be left unchanged.

Directors Name(Required)

First Last

Club(Required)

Date of Birth(Required)

Address

Street Address Address Line 2 City / Suburb State / Territory Postcode

Phone Number (Home/Work)(Required)

Mobile Number

Email Address(Required)

Club Position(Required)

Qualification/Program Name

Director Foundation & Management Collaboration

Finance for Club Boards

Authorisation(Required)

I hereby certify that the information provided and the documentation attached are true and correct.

Date Authorised(Required)