act hockey association

2014 WA OFF FIELD TEAM
U13, U21, AHL EXPRESSION OF INTEREST
If you would like to register your interest in being involved in one of the below roles please indicate below
and submit to HWA by 21st February 2014. If you wish to nominate for more than one position please rank
in number order of priority.
Please note that this is not a formal application process and HWA reserve the right to engage/seek other
interested personnel if required at any time.
HWA where applicable will seek to appoint for a 2 year time period upon successful reviews and
performance after year 1. Therefore in some circumstances an EOI may not be called for in all roles.
U21 Men: 8th-19th July 2014, Sydney NSW
U21 Women: 8th-19th July 2014, Perth WA
U13 Boys: 4th-11th October 2014, Adelaide, SA
U13 Girls: 4th-11th October 2014, Brisbane, QLD
AHL Men: 4th-11th October 2014, Adelaide, SA
AHL Women: 4th-11th October 2014, Brisbane, QLD
U13 Boys Coach
U21 Men Coach
AHL Men Assistant Coach
U13 Boys Assistant Coach
U21 Men Assistant Coach
AHL Men Manager
U13 Boys Manager
U21 Men Manager
AHL Men Video Tech
U13 Girls Coach
U21 Men Video Tech
AHL Men Physiotherapist
U13 Girls Assistant Coach
U21 Men Physiotherapist
AHL Women Assistant Coach
U13 Girls Manager
U21 Women Coach
AHL Women Manager
U13 Physiotherapist
U21 Women Assistant Coach
AHL Women Video Tech
U13 Boys Selector
U21 Women Manager
AHL Women Physiotherapist
U13 Girls Selector
U21 Women Video Tech
AHL Men Selector
U21 Women Physiotherapist
AHL Women Selector
U21 Men Selector
U21 Women Selector
APPLICANTS DETAILS:
Name:
Address:
Mobile:
D.O.B:
Email:
HOCKEYED COACHING QUALIFICATIONS (please circle):
Community
Level 1
Level 2
Year Gained:
Advanced
High Performance
Is it current:
Working with Children Check Number:
First Aid/CPR: Y/N
TEAMS COACHING / MANAGING IN 2012-2013 and anticipated in 2013-2014 (with
grades/details):
PAST HOCKEY EXPERIENCE (i.e. representative teams and programs
coached/managed/selected, with details):
Why do you wish to be involved in this program?
This form should be returned to:
Hockey WA
PO BOX 1090
Bentley MDC WA 6983
Or Fax: 9458 5524
Or Email: [email protected]
CLOSING DATE FOR ALL APPLICATIONS: Friday
21st February , 2014