Karalee Tornadoes Coaching Staff Application Form
Date of Application: ___ / ___ / ___
Applicants Name:
Address:
Home:
Mobile:
Email: _
______
Do you have or willing to get a “Working with Children” blue card?
Y/N
Have a “Working with Children” blue card already? Number: ______________ Expiry: ___ / ___
Nomination for a Head Coach / Assistant Coaching Position
NRL accreditation/folio number:
Team Age Group (e.g. Under 13 next season) you are applying for:
Tick the circle for your selection. Are you applying for a Head Coach ⃝ or Assistant Coach ⃝
Tell us about your coaching background and achievements below: (Attach extra pages if you need more room)
Tell what you can bring to the team and the club in this role:
If unsuccessful for a coaching position are you willing to assist this team with other roles such a
Leaguesafe, First Aid Officer or team manager? YES ⃝
No ⃝
If you would like further supporting information, please do not hesitate in contacting me anytime that
I may be off assistance. Thanks for taking the time to be a part of something very special. You can also
send your application in electronically to [email protected]
Cheers,
Chris Sefont Coaching Director 2017
Office Use Only: Date Received: ___ / ___ / ___