Youth Development Coach Course - EOI
Expression of Interest
Name
*
First Name
Last Name
NRLID
Date of Birth
*
-
Day
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Month
Year
Date
Mobile Number
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Please enter a valid phone number.
Format: 0000 000 000.
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
Region
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Please Select
NSW - Western Sydney
NSW - Sydney Central/Macarthur
NSW - Northern Corridor
NSW - Greater Northern
NSW - Western & South West
NSW - Southern
QLD - SEQ
QLD - Central
QLD - North
NT
SA
WA
VIC/TAS
International
Current Coaching Accreditation
*
Senior Club Coach
Club Coach
Community Coach (6 - 12)
Community Coach (13 - 18)
Community Coach (19+)
International Games Coach
High Performance Coach
Will you be coaching male or female competitions?
*
Male
Female
Male Competitions
Please Select
Andrew Johns (U16)
Harold Matthews (U17)
Laurie Daley (U18)
SG Ball (U19)
Jersey Flegg (U21)
NSW Cup
Schoolboy Cup (U18)
Cyril Connell (U17)
Mal Meninga (U19)
QLD Cup
NRL Academy Coach
ASSRL Championship
NRL RISE Development Coach
Not involved in any of the above
Female Competitions
Please Select
Lisa Fiola Cup (U17)
Tarsha Gale (U19)
Harvey Norman Premiership
Schoolgirl Cup (U18)
BMD Premiership
Harvey Norman (U17)
Harvey Norman (U19)
NRL Academy Coach
ASSRL Championship
NRL RISE Development Coach
Not involved in any of the above
Please provide a clear rationale for why this level of accreditation is necessary for your coaching context?
Club Name
*
Coaching Role
*
Please Select
Head Coach
Assistant Coach
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Workshop Options
Preferred Workshop
*
Please Select
Brisbane – Australian Catholic University: 10–11 October 2026
Sydney – NSW Centre of Excellence: 31 October – 1 November 2026
Sydney – TBC (likely Western Sydney Area): 16–17 January 2027
Brisbane – Australian Catholic University: 30–31 January 2027
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