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Coach Mentor Nomination Form 2023
To be completed by potential coach mentors for Labrador coaches in 2023.
The aim of the Coach Mentor Program is to upskill Labrador Tigerstix coaches to improve skill technique and "way of play" tactics for consistency throughout the club.
Membership satisfaction, retention and recruitment are maximised as an outcome of coach development.
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* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Contact Phone Number
*
Your answer
What level coach are you interested in mentoring - choose as many as you wish.
*
BHL2
Div 1 Women
Div 1 Men
Div 2 Women
Div 2 Men
Div 3 Women
Div 3 Men
Div 4 Women
Open Boys
Open Girls
Under 14 Boys
Under 14 Girls
Under 12 Boys
Under 12 Girls
Under 12 Mixed
Tigerstix Tens (8-10 years)
Rookies (6-8 years)
Cubs (4-6 years)
Other
List your top 4 preferences:
Your answer
If you are not successful in obtaining one of your top preferences would you be available to mentor as preferred by Labrador?
Your answer
Have you any current coaching qualifications?
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Yes
No
If you answered 'Yes' please supply details - Level and Year attained.
Your answer
All coach mentors must have a "Blue card/Working with Children check" or be willing to obtain one.
*
I already have a working with children check
I am willing to obtain a Qld Blue Card
I am a teacher and am exempt from this requirement
I need to discuss this requirement
If you already have a Blue Card or Exemption Card, please provide the card number/exemption number and your date of birth (dd/mm/yyyy) below to enable us to link you to the club.
Your answer
Are you intending to play in 2023 and if yes, in which division/s?
Your answer
What coaching and/or mentoring experience do you have?
Your answer
Why do you want to mentor Labrador coaches?
Your answer
If appointed to mentor Labrador coaches you are agreeing to abide by all Club policies and the Coach Handbook.
Thank you for your nomination.
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