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Coaching Team Application
Name:
Address:
Tel No:
Email:
D.O.B.:
Do you have an up to date CRB form?
Yes
No
Do you have an up to date First Aid Certificate?
Yes
No
Do you have an up to date Child Protection Certificate?
Yes
No
Please indicate the sports that you are qualified to teach:
Football, to:
level 1
level 2
level 3
Tennis, to:
level 1
level 2
level 3
Rugby, to:
level 1
level 2
level 3
Gymnastics, to:
level 1
level 2
level 3
Cricket, to:
level 1
level 2
level 3
Dance, to:
level 1
level 2
level 3
Netball, to:
level 1
level 2
level 3
Basketball, to:
level 1
level 2
level 3
Other - please explain
Do you have experience of teaching in schools?
Yes
No
Where did you hear about The Elms?
Internet
Mailshot
Newspaper
Recommendation
Radio
Sports Centre
Other
Can you supply two references?
Yes
No
Do you have your own car?
Yes
No
Any other relevant information: