FNSW Country Futsal State Team

2019 FNSW COUNTRY FUTSAL STATE TEAM COACHING POSITION APPLICATION
Personal Details
First Name*
Last Name*
Date of Birth*

DayMonthYear
Main Contact No.*
E-mail*
Uniform Sizing*
Apparel is Puma
Address
Street*
Suburb*
State*
Working With Children
WWCC No.*
WWC Expiry*
Upload a copy of your Play By The Rules Child Protection Certificate

Browse Files
If you have not completed please go to https://www.playbytherules.net.au/online-courses/child-protection-online-course Cancelof
Upload a copy of your Play By The Rules Harassment and Discrimination Certificate

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If you have not completed please go to https://www.playbytherules.net.au/online-courses/harassment-and-discrimination-online-course Cancelof
Current Coaching
Current Futsal Coaching Qualifications*
Current Futsal Club
Current Age Group Coaching
Employment Eligibility
Are you eligible for employment in Australia?*
If no, please explain your visa type and entitlement to work?
Team Preferences
1st Preference*
2nd Preference
3rd Preference
Referee

Please supply the details of two referees from your previous/current futsal coaching experiences that FNSW may contact. If you have not coached futsal before personal referees will be acceptable.
Referee #1
Name*
Position Held*
Club/Company*
Contact Number*
Was the above referee your immediate supervisor?*
Referee #2
Name
Position Held
Club/Company
Contact Number
Was the above referee your immediate supervisor?
Coaching CV / Resume
Upload Coaching CV*

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Identification / Drivers Licence
Upload copy of current ID/Drivers Licence*

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2019 FNSW COUNTRY FUTSAL STATE TEAM COACHING POSITION APPLICATION