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* 1. Full Name

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* 2. Gender

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* 3. Date of Birth

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* 4. Address

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* 5. Email Address

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* 6. Contact Phone Number

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* 7. Are you currently coaching at a Club/Affiliate Level?

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* 8. Which is your preferred coaching role? (Multiple roles can be selected)

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* 9. Coaching Accreditation Level

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* 10. If you have selected more than one option, please rank them in order of priority here, with 1 being the highest priority.

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* 11. In 300 words or less please tell us why you are the best candidate for your nominated position(s) and what you would like to achieve if selected in your nominated position(s)?

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* 12. Do you hold a valid Drivers Licence?

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* 13. Do you hold a current Working with Children Check?

Thankyou for your answers, if you have any questions or concerns please contact david.harris@touchfootball.com.au

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