Emu Plains JRLFC Coaching Application Form
Thank you for your interest in applying for a Coaching position at Emu Plains JRLFC for our 2022 season. All positions are open from U6's to A Grade including our girls teams U14's to Open Womens.  We would love to see some new faces, new ideas and invite you to come on board & get involved. Everyone is welcome to apply including coaches who are starting out for the first time or with limited experience. We will work with our coaches to provide a supportive and encouraging environment to develop your coaching skills.  

Applications close 8pm ~ Friday 24th September
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Email *
PERSONAL INFORMATION
Please answer every question
Name: *
Address: *
Mobile: *
What age group are you applying for - 1st preference? *
If you are unsuccessful with your 1st preference would you consider another team?  If yes state team. *
Why would you like to coach this age group/team? *
Do you have a child or relative in this age group *
COACHING QUALIFICATIONS & EXPERIENCE
Do you hold a current coaching certificate *
What level is the qualification? *
What is your NRL ID Number & expiry date:
Do you have a current WWC  Number? *
What is your WWC Number & expiry? *
COACH/TRAINER HISTORY
Please provide as much details of previous coaching/training history as possible for the past 4 years: Eg: Year, Club, Age, Division, Role etc.
Previous Coaching History - 2021(Club/Age/Div) *
Previous Coaching History - 2020(Club/Age/Div) *
Please provide any other information that might support this application?
Trainer Requirements: Minimum requirement for trainers U6s - U15s is First Responder (Green Shirt) U16's to Opens Level 1 Medical (Blue Shirt) Do you have one of these trainers for the team you want to coach? *
2022 SPONSORSHIP
Do you have or know of any potential sponsor who might be interested in sponsoring your/a team or club in 2022 *
Please provide Business Name, Contact Person, Phone & Email
FEEDBACK - We would love to hear any feedback you have, what areas you think we can improve on, your expectations of the club etc.
DECLARATION:
I acknowledge that if I am successful in gaining a coaching position for the 2022 season, I will be responsible for fulfilling the following commitments.
*
Required
Signed (you will be required to sign & Date at time of interview)
Date:
A copy of your responses will be emailed to the address you provided.
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