S.C. Corinthians Football - Application Form 2021
2021 S.C. Corinthians Football Inc.
Application Form
Coaching/Assistant Coach/Manager Positions

Please Note: In the interest of PLAYER & CHILD SAFETY, S.C. Corinthians Football Inc. requires that all its officials (Junior & Senior) are to have a current Blue Card.

Applications close at COB 5pm on Friday 27th November, 2020.

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Name of Official *
Please supply your name
Official's Address *
Official's Date of Birth
Please include your DOB.
MM
/
DD
/
YYYY
What is your home phone number?
What is your mobile phone number? *
What is your email address? *
What Coaching level do you have? *
Required
Enter your coach ID No and expiry if you have completed a coaching course: (If none please move on)
If no coaching level, would you like to be booked in for a coaching course?
Clear selection
Do you have a current Blue Card (Working with Children Check) *
Required
Please include your Blue Card (Working with Children Check) number and expiry date
Positions interested in undertaking?
What division(s) are you Interested in? (If you want to be involved with more than 1 team please check the boxes) *
Required
If you are interested in being involved in more than 1 team, please list your preference in order that you would like to be considered for (If only 1 team please move on to the next question).
Is there a child in any of your chosen groups above that you wish to be involved with? *
Required
If you answered yes before please name the child that you would like to be involved with.
Coaching &/or Managerial Experience (if both please include) *
Will you train the team using the FFA National Curriculum? *
Do you hold a current First Aide Level or Higher
Clear selection
What is your First Aid number and expiry?
Do you agree to provide all players with a safe and supportive environment at trainings and games, as well as ensuring the wellbeing and enjoyment of all players? *
Do you agree to follow all code and conducts, the FFA respect program and any other programs encouraged by the S.C. Corinthians Football Inc.? *
If successful and wanting to coach a team, are you happy to fund the costs of the course with the proviso that payment is reimbursed at the completion of the current season, after fulfilling all requirements of the club?
Clear selection
Please provide a Referee (This person is able to provide us with a character reference regarding your involvement in football/sport) A name and number is required. *
Submit
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