Performance Coach Course - EOI
Expression of Interest
Name
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First Name
Last Name
NRLID
Date of Birth
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Day
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Year
Date
Mobile Number
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Please enter a valid phone number.
Email
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example@example.com
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Current Coaching Details
State
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Please Select
ACT
NSW
NT
QLD
SA
VIC
TAS
WA
Current Coaching Accreditation
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Senior Club Coach
Club Coach
Community Coach (6 - 12)
Community Coach (13 - 18)
Community Coach (19+)
International Games Coach
High Performance Coach
Youth Development Coach
Will you be coaching male or female competitions?
*
Male
Female
What competition are you acting in?
*
QLD Cup
NSW Cup
NRL
NRLW
Other
Please provide a clear rationale for why this level of accreditation is necessary for your coaching context?
Club Name
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Coaching Role
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Please Select
Head Coach
Assistant Coach
Workshop Preference
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Please Select
15th and 16th of November, NSW Centre of Excellence
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