WINDSOR WOLVES COACHING APPLICATION

SEASON 2016

CLOSING DATE

WEDNESDAY 30TH

SEPTEMBER

The Windsor Wolves Rugby League Club is calling for Coaching Applications for the 2016 Season.

We ask that all applicants complete the application form and return to the club via post, email or in person.

If not previously completed, all applications MUST be supported by a completed Working with Children Check.

Below is the URL link that will take you to the website. Once completed, please print the “New Applicant Receipt’ and submit it with your application. You will also need to print a copy for your own reference as you will need to complete your application by obtaining confirmation from the NSW Motor Registry or Government Access Centre locations listed on the NSW working with children website. There are no fees with this register and it will cover you for a 5 year period. The link is: https://wwccheck.ccyp.nsw.gov.au/Applicants/Application#

Please address you application to Dean Jones and forward your application in any of the forms below:

Postal Address: Cnr Rifle Range Road, George Street South Windsor 2756

Email Address:

In Person: Windsor Leagues Club, Cnr Rifle Range Road, and George Street South Windsor 2756

Best Regards,

Dean Jones

Rugby League Manager

M: 0400 678 238

Name: ______Surname:______

Address: ______DOB: ______

Phone: Home:______Mobile: ______

Email Address: ______(Must Nominate)

Occupation:______

Polo Shirt Size______

(MUST be worn every time you represent Windsor Wolves).

Windsor Wolves Rugby League Club Membership No.______

(You MUST be a Member of the Windsor Wolves Rugby League Club to hold any position on the Junior League).

Do you hold a current Coaches Accreditation Certificate? Yes / No

Please attach a copy of your coaching card to the application.

Coaching Accreditation Level______

If yes, what is your Accreditation Number______Expiry Date: ______

Working with Children Check Number______Expiry Date: ______

Name the age team you would like to coach:

Age Group:______Which Division: ______

Do you have a child playing in this team? Yes / No (Please Circle)

Name an alternative team team you would consider coaching:

Age Group:______Which Division: ______

Do you have a child playing in this team? Yes / No (Please Circle)

Please list the personnel who will assist you next season.

Team Manager: ______

(Must agree to ensure Team Representation will be present at meetings).

Trainer:______

Trainer:______