2014 WA OFF FIELD TEAM
U13, U21, AHL EXPRESSION OF INTEREST

If you would like to register your interest in being involved in one of the below roles please indicate below and submit to HWA by 21st February 2014. If you wish to nominate for more than one position please rank in number order of priority.
Please note that this is not a formal application process and HWA reserve the right to engage/seek other interested personnel if required at any time.

HWA where applicable will seek to appoint for a 2 year time period upon successful reviews and performance after year 1. Therefore in some circumstances an EOI may not be called for in all roles.

U21 Men: 8th-19th July 2014, Sydney NSW
U21 Women: 8th-19th July 2014, Perth WA
U13 Boys: 4th-11th October 2014, Adelaide, SA
U13 Girls: 4th-11th October 2014, Brisbane, QLD
AHL Men: 4th-11th October 2014, Adelaide, SA
AHL Women: 4th-11th October 2014, Brisbane, QLD


U13 Boys Coach
U13 Boys Assistant Coach
U13 Boys Manager
U13 Girls Coach
U13 Girls Assistant Coach
U13 Girls Manager
U13 Physiotherapist
U13 Boys Selector
U13 Girls Selector /
U21 Men Coach
U21 Men Assistant Coach
U21 Men Manager

U21 Men Video Tech
U21 Men Physiotherapist
U21 Women Coach
U21 Women Assistant Coach
U21 Women Manager
U21 Women Video Tech
U21 Women Physiotherapist
U21 Men Selector
U21 Women Selector /
AHL Men Assistant Coach
AHL Men Manager
AHL Men Video Tech
AHL Men Physiotherapist
AHL Women Assistant Coach
AHL Women Manager
AHL Women Video Tech
AHL Women Physiotherapist
AHL Men Selector
AHL Women Selector

APPLICANTS DETAILS:

Name:
Address:
Mobile: / D.O.B:
Email:

HOCKEYED COACHING QUALIFICATIONS (please circle):

Community / Level 1 / Level 2 / Advanced / High Performance
Year Gained: / Is it current:
Working with Children Check Number:


First Aid/CPR: Y/N

TEAMS COACHING / MANAGING IN 2012-2013 and anticipated in 2013-2014 (with grades/details):

PAST HOCKEY EXPERIENCE (i.e. representative teams and programs coached/managed/selected, with details):


Why do you wish to be involved in this program?

This form should be returned to:

Hockey WA

PO BOX 1090
Bentley MDC WA 6983

Or Fax: 9458 5524
Or Email:

CLOSING DATE FOR ALL APPLICATIONS: Friday 21st February , 2014