1st4sport FA Level 1 Award In Coaching Football Venue: Parkside Sports College, Hall Lane Estate, Willington, Crook DL15 0QF Tuesday Monday Tuesday Monday Tuesday Monday Tuesday Monday Tuesday 6th November 2012 12th November 2012 13th November 2012 19th November 2012 20th November 2012 26th November 2012 27th November 2012 3rd December 2012 4th December 2012 6:00pm - 9:00pm 6:00pm - 9:00pm 6:00pm - 8:30pm 6:00pm - 9:00pm 6:00pm - 8:30pm 6:00pm - 9:00pm 6:00pm - 8:30pm 6:00pm - 9:00pm 6:00pm - 8:30pm Enrolment / Theory Theory Practical Theory Practical FA Safeguarding Children Practical Assessments FA Emergency 1st Aid Practical Assessments Cost: £120 per student MUST BE SENT WITH APPLICATION FORM Information: Course Fees must be paid up front, if you are having your course paid for, then you must submit a signed letter from the organisation/club on letter headed paper confirming they will be paying your course fee and this must be sent with your application form otherwise the form will be returned. (All Cheques made Payable to Durham County FA) FA Coach Education Course Application form FA Charter Standard Bursary: Cost £50 per student Terms and conditions apply: Club must be affiliated to Durham County FA Club must have a signed off and fully completed FA Charter Standard Club Health Check (Coach must be added to Club Records through Member Services) All application forms for a bursary must be co-signed by a club secretary, otherwise application form will be returned. If candidates fails to complete course, FULL COST will be charged The full course fee must be paid within 3mths from the start date otherwise the FULL COST will be incurred. Tel: 0191 3872928 Email: [email protected] Web: DurhamFA.com COURSE CODE: 1LC354 DurhamFA.com FA Coaching Course Durham FA Coach Education Cancellation Policy Durham FA Coach Education Cancellation Policy Getting your If you need to cancel your attendance on the course you should inform Durham FA immediately. All our courses are in demand and by not advising us you are preventing another candidate from attending. If you are a League Official, Club Official, Referee, Coach and/or Player it is extremely likely you have a FAN already. Please email: [email protected] with your name, date of birth and address and your FAN and password will If you cancel more than 2 weeks prior to the commencement of the course, a full refund will be issued. However, if you cancel after the 2 week deadline, no refund will be given. be emailed to you. Consideration will be given to candidates who, for health reasons are unable to attend and require a transfer to another course. A letter from a doctor or medical professional must be supplied. If you should decide to transfer to another course once your application has been submitted, there will be an additional administration charge of £20.00 By submitting an application you agree to all of the terms above Guidance Notes You can also register for a FAN at www.TheFA.com/FAN Application Form Course Code: 1LC354 1st4sport FA Level 1 Award in Coaching Football Durham Title: …………..FA Coach Education Cancellation Policy Forename: ………………………………………… Surname: ……………………………………………….. Address: …………………………………………………………………………………………………………………. For whom the course is intended Males or Females. Minimum age is 16 years Managers/Coaches of junior football teams Prospective candidates for FA Level 2 Coaching Certificate or FA Youth Award College, University and Sixth Form Students ………………………………………………………………………………… Post Code: ..……………………….. Course Requirements Date of Birth: ……../……../………. Tel : ……………………………………………………. FAN must be complete. If you do not know your FAN please see guidance notes : E-mail: ……………………………………………………………………………………………………………………. Disability/Medical Condition: ………………………………………………………………………………….. Which Club / School / Organisation do you belong to: Writing materials / Notepad Suitable playing kit, tracksuit, shorts, socks Footwear – appropriate to the surface Water bottle Shin pads are compulsory Practical Work Candidates should have a reasonable level of fitness as there is a physical content in taking part in the practical sessions. The Practical Sessions are designed to help develop Youth/Adult player’s ability, each game relating to a specific technique of the game. (Team Name)……………………………………………………………………….(Age Group)………………………… Declaration: I understand that Durham County FA and its servants, agents and employees are not under any liability whatsoever in respect of personal injury, loss or damage however caused, while taking part in any activities of the Association. I have read and agree to the Durham County FA Coach Education Cancellation Policy. Signed: ………………………………………………………. Date: ………………………………… FA Charter Standard Bursary Application Only: The full course fee must be paid within 3mths from the start date otherwise the FULL COST will be incurred. Tasks Young Player Development Football Club Administration RESPECT and Responsibilities to the Game Football for All Planning and Delivery of a Football Activity Session Laws of the Game FA Emergency 1st Aid Workshop FA Safeguarding Children Workshop Name (Club Secretary) …………………………………………………………………………….. Signature: ………………………………………………………………………………………………… Completed applications should be returned to: Durham County FA, Football Development, Riverside South, Chester-le-Street, DH3 3SJ Assessment Completion of FA Emergency 1st Aid Certificate or APL (HSE Approved) Attendance at an FA Safeguarding Children Workshop Practical Assessment to achieve FA Level 1 Award
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