Potential Coach Form

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Bristol Central Youth Football Club

Thank you for your interest in coaching with Bristol Central YFC. Please fill out the form below to the best of your knowledge to help us provide you with the most suitable position in our club.

What is your full name? *

Are you 18+ years old? *

Yes

What is your email address? *

What is the best phone number to contact you on? *

If you have a mobile phone, are you available via Whatsapp?

Yes

Clear selection

Do you hold any football coaching qualifications? Check all that apply. *

I hold no coaching qualifications

FA Level 1 (or FA Level 1 in Goalkeeping)

FA Level 2 (or FA Level 2 in Goalkeeping)

FA Level 3/UEFA B in Coaching Football

FA Level 4/UEFA A in Coaching Football

The FA Advanced Youth Award

Other:

Required

If you have any of the qualifications listed above, please provide your FAN number and date of last qualification achieved.

Briefly outline any playing/coaching/teaching/sporting experience/background that you have. *

Which of the below statements best describe you? *

I would like to manage my own football team as the lead coach and manager on both training and match day.

I would like to support a lead coach in an existing football team as their #2 on both training and match day.

I would like to attend training sessions only to coach select players.

I would like to work in some capacity with Goalkeepers.

Required

Which age of player would you like to work with most? Tick your first choice as 1, second choice as 2, third choice as 3 and fourth choice as 4. *

6 - 8 year olds

9 - 11 year olds

12 - 15 year olds

16 - 18 year olds

Do you hold any of the following (check all that apply): *

DBS check

Safeguarding training

First Aid training

None of these

Required

If there is anything else you wish to mention then please detail it below.

Submit

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