South West Sydney Academy of Sport Coach and Support Staff Application

COACH / SUPPORT STAFF EOI/APPLICATION FORM
Sport Program:
Role EOI / Application for:
Other Option
If unsuccessful for the position of Head Coach, would you consider a position of Assistant Coach:: YESNO
First Name:
Last Name:
Street Address:
Suburb:
Postcode:
Mobile Phone:: Please Format 04## ### ###
Email:
Confirm Email:
Working With Children Check Number:
Working With Children Check Expiry:
Applicant Date of Birth:
Representative Club/Association:: If applicable
SSO / Club Membership / Registration Number:
Country of Birth:
Do you identify as an Indigenous Australian?:: YESNO
Do you identify as being from a Pacific Nation?:: YESNO
Do you identify as from a Cultural and Linguistically Diverse (CALD) background?:: YESNO
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