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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Email *
Name *
Email Address *
Contact Phone Number *
What level coach are you interested in mentoring - choose as many as you wish. *
List your top 4 preferences:
If you are not successful in obtaining one of your top preferences would you be available to mentor as preferred by Labrador?
Have you any current coaching qualifications? *
If you answered 'Yes' please supply details - Level and Year attained.  
All coach mentors must have a "Blue card/Working with Children check" or be willing to obtain one.   *
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.
Are you intending to play in 2023 and if yes, in which division/s?
What coaching and/or mentoring experience do you have?
Why do you want to mentor Labrador coaches?
If appointed to mentor Labrador coaches you are agreeing to abide by all Club policies and the Coach Handbook.  
Thank you for your nomination.
A copy of your responses will be emailed to the address you provided.
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