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* 1. Applicant Name

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* 2. Phone

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* 3. Age Group

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* 4. Have you ever coached a football team before?

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* 5. If yes, please provide details of previous experience (eg: Club, Age Group, Number of Seasons, etc.):

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* 6. Are you a qualified Level One/Two Coach?

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* 7. If yes, please provide the following information:

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* 8. Would you please tell us about your beliefs and values in relation to working with children?

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* 9. Would you please tell us about your awareness and understanding of child protection?

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* 10. Would you please tell us about your professional experience, competencies and qualifications in relation to working with children?

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* 11. What boundaries are important when working with children?

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* 12. Have you ever had any disciplinary action taken against you un relation to working with children?

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* 13. If you are not a qualified Level One or above coach at present, are you prepared to complete a Level One course before the beginning of the football season?

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* 14. Do you hold a CURRENT Working With Children Check (Volunteer)?

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* 15. If yes, please provide the following information:

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* 16. What is your motivation for wanting to coach this group?

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* 17. Who will be your support team? (Where ever possible, please provide details of Helpers)

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* 18. What goals would you like to set this group, and yourself next season?

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* 19. How do you plan to achieve these goals?

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* 20. How will you ensure that there are good lines of communication with players and parents?

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* 21. What are your objectives regarding player development and give one example of how you will monitor the development of individual players and the team?

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* 22. How would you describe your coaching style? Game Day & Training?

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* 23. What are your methods in resolving conflict that may occur within your team?

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* 24. Please describe your game style?

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* 26. Any other information you wish us to know

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