Coach & Manager Application Form

APPLICATION FOR POSITION OF COACH / MANAGER
form last updated 2 FEB. '08

Email completed form to: M Buys 076 800 6983 buysm@stdavids.co.za

Please complete the questionnaire below:

Year applied for: _________

AUTOMATIC COACHING REAPPOINTMENT (please circle or highlight)
A) The Gauteng Schools team I coached last year placed first
N/a NO YES

B) The Gauteng Schools team I coached last year placed second
N/a NO YES

C) COACHES POINTS RATING
Please complete the questions below if your answer to A or B was not Yes

Years played in a provincial team
________x 1 point

Years coaching a provincial team
________x 2 points

Years played in a national side
________x 3 points

Years coaching a national side
________x 4 points

Water Polo certificates obtained
________x 1 point
(Approved GSWP,SSA,FINA,LEN)

Years of relevant degree/diploma
________x 2 points

Other reasons to be considered
________x 1 point
______________________________________________
______________________________________________
______________________________________________
______________________________________________

D) I am a full time teacher (+3points)
NO YES

E) I am employed at a educational institution as a part time coach (+3points)
NO YES

F) I am of the following ethnical orientation (+40points)
COLOURED INDIAN BLACK CHINESE

G) I coached a B/Colts side that reached the previous years top 4 (+40 points)
NO YES

H) I coached a B/Colts side that won the finals in the previous years B section (+40 points) NO YES

I) My first choice age group to coach is
U13 U14 U16 U19

J) My second choice age group to coach is
U13 U14 U16 U19

K) I would like to coach the following gender
NO PREFERENCE BOYS GIRLS

L) I am willing to coach a B/Colts side should my CAR points be too low
NO YES APPLICANT


(please do not leave out any information)

TOTAL POINTS:

Surname: _________________________
Full First Names: _________________________
Date of Birth: _________________________
Gender: _________________________
Identity number : _________________________
Cellular: _________________________
Fax: _________________________
Tel home: _________________________
Tel work: _________________________
email: _________________________
Residential Address: _________________________
Postal Address: _________________________
Cell Next of kin: _________________________
Cell Spouse: _________________________
Bank Details: _________________________
SSA reg number: _________________________