Advanced Coaching Practices Program EOI Form
Name
*
First Name
Last Name
Email
*
example@example.com
Gender
*
Female
Male
Non-Binary
Prefer not to say
Coaching Level
*
Please Select
AFL/W
VFL/W
Coates League
Community Senior Football
Community Junior Football
Current Club
*
Coaching Role in 2025
*
What year did you complete the Level 2 Coaching Course?
*
Please list your Coaching Roles for the last 5 seasons.
*
Please let us know why you wish to participate in the Advanced Coaching Practices program and what you want to get out of it.
*
Referee 1: Name, Coaching Role, Phone Number
*
Referee 2: Name, Coaching Role, Phone Number
*
I am available 9am-5pm on the weekend of 7 & 8 December 2024?
*
Yes
No
I confirm that I understand that attendance is required at all face to face and online sessions to complete the Advanced Coaching Practices course.
*
Yes
I am aware the Course Fee is $1500 and payment will be required prior to the commencement of the course.
*
Yes
No
Any Supporting Documents? (This may include a Coaching Resume)
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