Sample nomination form for coaching position (Applications close )


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SAMPLE NOMINATION FORM FOR COACHING POSITION
(Applications close )


CONTACT DETAILS:

NAME: ___ ____________________________ D.O.B:_____________________

ADDRESS: ______________________________________________________

EMAIL: __________________________________________________________

PHONE: (H): _____________________ (W): _____________________ (M): ____________________

I wish to apply for the position of Coach as indication below:
TEAM:
1st preference: ____________________ 2nd preference: __________________

COACHING QUALIFICATIONS:

DO YOU HOLD A CURRENT RUGBY LEAGUE COACHING CERTIFICATE?

□ YES □ NO FOLIO NO.:______________ Expiry:______________

LEVEL: □ Modified Games (MGC) □ International Game (IGC)

□ Club Coach (Level 1) □ Senior Club Coach (Level 2)

□ High Performance Coach (Level 3)

RECENT COACHING EXPERIENCE:

Year

Club

Team

Div

Notes

2011













2010













2009













Other













PROPOSED SUPPORT STAFF:

MANAGER: __________________________ TRAINER/S: 1._________________________

2._________________________

Signed: __________________________ Date: _____/_______/_______

Nominations are to be lodged by post or e-mail to The Coaching Coordinator



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