LEVEL 1 AWARD IN COACHING FOOTBALL
Who is the course for?
Managers and coaches of junior teams, youth leaders, further education students and prospective
candidates for the Level 2 Award in Coaching Football / FA Youth Award
Player & Coach Development Football Administration Basic Laws of the Game Soccer Parent
Practical Sessions Written & Practical Assessment Emergency Aid Workshop
Safeguarding Children Workshop
What will I need?
Candidates will require full playing kit, football boots / training shoes, shin pads, plus pen & paper
Candidates must be aged 16 or over on the start date of the course
Assessment & Certification?
Candidates will be required to pass both a written & short practical assessment
How much is the course? Where is it being held?
£130 or Northumberland FA HQ,
£120 for coaches working at Charter Standard Whitley Park, Whitley Road, Benton, Newcastle
Clubs (supporting letter required) Upon Tyne, NE12 9FA
th th th th
Theory Monday 6 , 13 , 20 , 27 February 6.00pm-9.30pm
Practical Saturday 11th, 18th, 25th February 9.00am-1.00pm
Final Assessment Saturday 3rd March 9.00am-3.00pm
How to book?
Complete the attached application form and return with payment
(cheques should be made payable to Northumberland FA) or
Enrol online at http://eventspace.thefa.com/northumberlandfa/participant/s.aspx or
Call 0191 270 1166 and pay over the phone by debit / credit card
For more information please call the Development Office on 0191 270 1166
Or email: Adam.Furness@Northumberlandfa.com
Level 1 Course Date FEB 2012 Venue NFA HQ
First Name Surname
Title Gender Date of Birth
Tel no. Mobile no.
Club Role at organisation
Previous Coaching Awards and year awarded
Award Tick Year Awarded Award Tick Year Awarded
Level 1 Emergency Aid
Level 2 Safeguarding Children
Level 3 (UEFA B) CRB Verification
Age Appropriate Welfare Officer Workshop
Introductory Module st
FA Youth Award Mod 1 Basic 1 Aid for Sport
FA Youth Award Mod 2 FA Goalkeeping L1
FA Youth Award Mod 3 FA Goalkeeping L2
Futsal Coaching Disabled Footballers
Other, Please state
I would describe my ethnic origin as:
Asian British Bangladeshi Black Caribbean Other Mixed White Non
Asian British Indian Mxd White & Asian Other white
Asian British Pakistani Mxd White & Black Pakistani Indian
Mxd White & Black Other
Bangladeshi White British
Caribbean Prefer not to say
Black African Other Asian White European
Black British Other Black White Irish
Do you consider yourself disabled? YES / NO (please circle) If Yes, what is the nature of your disability?
Hearing Multiple Mobility Learning Visual Physical Prefer not to say Other
I understand that the course I am applying for will require me to participate as a coach and player and I confirm
Yes / No
that I am physically prepared to participate.
I do not have any medical conditions that might restrict my ability to participate.
If you do consider that you have any medical conditions which might limit your participation these should be
provided separately and will be treated confidentially.
Please return (with payment) to: Football Development, Northumberland FA, Whitley Park, Whitley Road, Benton,
Newcastle upon Tyne, NE12 9FA. Cheques should be made payable to “Northumberland FA”