High Performance Coach Application

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Type (Mobile/Office etc)

Phone Number

3

Email* This field is required.

example@example.com

4

Do you have a current DCSI Clearance or working with children check? You will be required to provide a copy on appointment (even if you have provided a copy previously)

WWC

DCSI

No Clearance

5

State Team Applicant Only, What is your preferred Age/Gender Group

Girls

Boys

U16

U18

6

Which position are you applying for?* This field is required.Select any position you wish to be considered for

State Team Head Coach

State Team Assistant Coach

State Team Development Coach

Development Team/EADP Head Coach (U15)

Development Team/EADP Assistant Coach (U15)

Development Team/EADP Coach U14 (North)

Development Team/EADP Coach U14 (South)

Development Team/EADP Coach U14 (SXC)

Development Team/EADP Coach U14 (Any Region)

7

Are there any teams that you would be UNAVAILABLE to coach?

Any State Team Role

Any Under 18 Role

Any Under 16 Role

Any Boys Team

Any Girls Team

Any EADP Role (U14/15)

Other (please detail in the additional information space at the end of the application)

8

Please provide a brief summary of your relevant coaching experience* This field is required.

9

Please provide any other information that may be relevant/support your application

10

Do you have any family members that may be trialing as a player in the SAC HP Program. If so, what age/gender

11

Current NCAS Coaching Accreditation* This field is required.

Community Coach (Level 0)

Club Coach (Level 1)

Association Coach (Level 2)

No NCAS Accreditation

Performance Coach (Level 3)