Young Coaches Development Programme 2016-17 Application
Please return completed forms to:Fiona Sweetman, Workforce Officerby Friday 7thOctober2016 via email: r via post: Workforce Officer, Volleyball England, SportPark, 3 Oakwood Drive, Loughborough, LE11 3QF
Personal DetailsFull Name
Date of Birth
Parent/Guardian Email
Address
Contact Number(s)
Name of School/College
Name of Club
Disability
Medical/Health Information
Experience and Personal Statement
Have you completed any of the following courses?
Course Type / Date Completed
Volleyball Young Leaders Award
Volleyball Young Event Volunteer Award
Volleyball Young Officials Award
UKCC Level 1 in Coaching Volleyball
Please detail any experience you have in coaching volleyball. This can be informal or more formal coaching that you have done within your school, club etc.
Currently, how confident would you be in coaching a group of under 16 volleyball players? Please explain why.
What two things would help to increase your confidence in coaching a group of under 16s and why?
What skills would you most like to develop by attending the National Talent Camp and by taking part in the wider coaching development programme?
In five years’ time, where would you like to be coaching?
Please use the space below if there is anything else you would like to add to your application.
Mentor Information
(Only complete this section if you currently have a mentor)
Mentor Name
Mentor Contact Number
Mentor Email
To date, what support have you had from your mentor? How often do you see them? Are they based at your school or club?
Declaration by Young Person
If successful, I confirm that I am available on the dates of the 16th– 19thDecember to attend the YST National Talent Camp in Loughborough.
I give my consent to participate in the Young CoachesDevelopment Programme and understand that I do so at my own risk.I also consent that I may be communicated with, and that any photographic and recorded images of me may be used for Volleyball England’s direct and public communications.
Signature / Date
Parental Consent
(Only required if you are under the age of 18)
By signing below I confirm the above child’s details are correct.
If successful in their application, I give consent for the young person named above to participate in the Young Coaches Development Programme. I confirm that my childis available on the dates of the 16th– 19thDecember to attend the YST National Talent Camp in Loughborough.
I consider the young person named above to be physically fit and capable of full participation and agree to notify the organisation of any changes to the information provided. Furthermore in the event of an injury I give permission for the organisation to obtain emergency medical treatment.
I give permission for them to be contacted by Volleyball Englandand confirm that communication with them and the use of any photographic and recorded images of them, may be used for Volleyball England’s direct and public communications.
I confirm that I have legal responsibility for this young person and am entitled to give this consent.
Name / Title
Relationship to Child
Signature / Date
1