Apply Now.

If you are interested in becoming a member of the Keebra Park Rugby League Program, please complete the application form below. Any field with a red asterisk next to it is mandatory for your application to be accepted.

Applications are invited from all suitably qualified players, who are actively seeking a career in the NRL. We accept applications from players who are overseas, interstate, and intrastate. Once you hit “submit” your form cannot be saved or changed and will be sent to our selection committee.

Applications close September 1st 2017 and applicants must be available to trail for final assessment and selection. These trials will be conducted in early October. Successful applicants will be notified in writing by November 1st, 2017. All selection panel decisions will be final.

Name

Date of Birth

Address

Contact Numbers

Height

Weight

Any Medical Conditions

Do you hold a New Zealand or Australian Passport?
YesNo

Preferred Positions

Clubs Played For

Achievements:
eg. Representative Teams, Player Awards, Academic Success

Any achievements described above must be supported by copies of reports or certificates.

Attach your certificates here:




References: (atleast two)

Please briefly describe your goals for Rugby League and your academic future.

Please list any links to video clips featuring you on Youtube or the internet.

Please list any other information you would like us to know

Email

Captcha: captcha

DVDs can be posted to Rugby League at Keebra Park, Anne Street, Southport QLD 4215

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