FNSW TSP Coaching Application

Personal Details
Name*
First Last
FFA Number*
Date of Birth*
Date Format: DD slash MM slash YYYY
Main Contact Phone No.*
Contact Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Working With Children
WWCC No.*
WWC Expiry*
Date Format: DD slash MM slash YYYY
Upload a copy of your Play By the Rules Child Protection Certificate*
Upload copy of your Play By The Rules Harassment and Discrimination Certificate*
Current Coaching
Current Coaching Qualifications*
Please specify other*
Current Club*
Current Age Group Coaching*
Employment Eligibility
Are you eligible for employment in Australia?*
If no, please explain your visa type and entitlement to work?*
COVID-19 VACCINATION STATUS
It is a condition of Employment that Employees are fully vaccinated against COVID-19 and that Employees agree to produce to Football NSW evidence of the same.
Please indicate your Vaccination Status*
- I am double vaccinated and intend to have any other required vaccinations and/or boosters
- I have a medical condition preventing me from being vaccinated
Health
To assist us to comply with our obligations to ensure a safe workplace and in order to enable us to determine whether applicants are able to safely and adequately perform the inherent requirements of the position, please provide details of any previous or current injuries, illness or disabilities of which you are ware and which you believe may affect your ability to carry out the inherent requirements of the position.*
Position Preferences
1st Preference*
2nd Preference*
Referee
Please supply the details of two referees from your previous/current coaching experiences that FNSW may contact
Referee #1
Name*
First Last
Position Held*
Club/Company*
Contact Phone Number*
Was the above referee your immediate supervisor?*
Referee #1
Position Held*
Name*
First Last
Club/Company*
Contact Phone Number*
Was the above referee your immediate supervisor?*
Upload Coaching CV*
Upload copy of current ID/Drivers Licence*
By submitting this form (through clicking the"Submit" button below) I understand that any false or misleading information given in this application, whether in writing or during an interview, may be reason for my employment, if I am appointed, to be terminated. I declare that to the best of my knowledge any information provided in or in relation to this application, is true, complete and correct.*
- I Agree