St Marys Rugby League Club by HC120901041133

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									                        St Marys Rugby League Club
                                         Cnr Forrester & Boronia Rd
                                               St Marys 2760
                                      Phone:9833-3957 Fax: 98330859
Rugby League
   Office

                              Coaching Application Form
The Rugby League Administrative Officer
St Marys Rugby League Club.


Dear Sir,

I hereby apply for the position of Coach of the Under…..….. Division….… for the ………. Rugby League Season.


                             My personal details are as follows (please print)

Last Name…………………………………………. First Name……………………………………………..


Address …………………………………………………………………………………………………………


Suburb ……………………………………………………………… Post Code……………………………..

Telephone (H)……………………… (Mob)………………………… Club Membership No………………..

Coaching Registration Number………………………….. Level…………… .…                        Year…………………

Shirt Size ……………

Please Note: All applications must hold a level 1 Coaching Certificate or be sitting for that Certificate
before the season commences. Senior Coaches (Sunday Football) must have a level 2 Coaching
Certificate or be sitting for the level 2 during the season. Penrith Junior League will not accept any Coach
that does not have the right qualifications. You must also be aware of the Governments Child Protection
Policy and Notification Procedures that are now enforce. If you are in doubt please ask the League
Administrator.
Applicants must be also be aware of the Clubs rule that states that a Coach cannot be a Trainer, Coach,
or player with an opposition Club whilst holding a coaching position with the St Marys Junior League in
the same season.
Note; You must be a Member of the Club to hold any position on the Junior League.

                                 Please give details of Coaching Experience




Signature………………………………….                                Date………………………………….`

								
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