Coaching Registration 1Applicant Details2Sporting Achievement Details3 HiddenGroups* Coaching First Name* Family Name* Email* Enter Email Confirm Email Street Address* Town* Postcode* Date of Birth* DD slash MM slash YYYY Gender* Male Female Gender Neutral Home Phone Mobile Phone* (athlete)ATSI-Diverse Background (Optional): Yes No Are you of Aboriginal and Torres Strait Island background? This information is used for NCAS and NSW Government - Office of Sport reporting requirementsCALD - Culturally and Linguistically Diverse (Optional): Yes No Are you of a culturally or linguistically diverse background? This information is used for NCAS and NSW Government – Office of Sport reporting requirementsHome Club & Association* Membership Number* e.g. Netball NSW / Basketball NSW / Golf Link etc. Selection CriteriaIn the boxes below, please specifically and accurately respond to each of the selection criterion. This will enable the selection panel to accurately assess your application.Which sport are you applying for?* AFLW Basketball Cycling Golf Golf Development Hockey Netball Netball Umpires Swimming Volleyball Which position are you applying for?* Head Coach Assistant Coach Satellite Coach Apprentice Coach Specialist Coach Manager Do you hold a current coaching accreditation with a registered State Sporting Organisation? Yes No Coaches are required to hold a minimum level 1 coaching accreditation and be a current membership of your association.Experience in coaching at club/association level*What qualities do you think you could bring to the program?*If you wish to provide additional information not covered with your above responses, please include them in the section below.DocumentsPlease provide the following supporting documentation.Working With Children Check number* Coaching Accreditation CertificateMax. file size: 8 MB.Current First Aid Certificate (HLTAID003)Max. file size: 8 MB.Current CPR Certificate (HLTAID001)Max. file size: 8 MB.Swimming Australia Safe Sport CertificateMax. file size: 8 MB.This is required if you are applying for a coaching position within the NCAS Swimming Program.Sport Integrity Australia Level 1 Anti-Doping CertificateMax. file size: 8 MB.Sport Integrity Australia was formerly known as ASADAProfile Picture*Max. file size: 8 MB.Must be a recent high-quality head and shoulders photo.RefereesPlease provide two referees that the selection panel can contact to support your application.Name* Contact Number* Email Name* Contact Number* Email Coach Declaration & ConsentCoach Declaration* The information I have provided is accurate and correct. Coach Agreement* By completing and signing the Coaching Agreement, you are confirming your participation in the NCAS Program, including attendance at all scheduled program events. EmailThis field is for validation purposes and should be left unchanged.
