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Development Camps Country Coach EOI Form
Please fill out the following form to express interest in attending the 2019 Development camps as a coach
9
Questions
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1
Name
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First Name
Last Name
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2
Phone Number
*
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Area Code
Phone Number
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3
Email
*
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example@example.com
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4
SA Country Association
*
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5
Are you involved in coaching at any SA Country Pathway Programs?
*
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CADP
EADP
SPP
None
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6
Do you have a current DCSI Clearance?
*
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YES
NO
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7
Which Camp/Camps do you wish to Express Interest For?
*
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South Under 13 Camp – Mount Gambier, 30th September and 1st of October 2019. South Under 14 Camp – Mount Gambier, 8th and 9th of October 2019. North Under 13 Camp - Whyalla, 10th and 11th of October 2019. North Under 14 Camp – Whyalla 12th and 13th of October 2013.
South Under 13 Camp
South Under 14 Camp
North Under 13 Camp
North Under 14 Camp
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8
If there are any relevant notes for your EOI, please include them below
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9
Please upload any relevant files to support your application (including DCSI Check)
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