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Contact Information |
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Name: |
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Address: |
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City: |
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Postal Code: |
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Email: |
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Applicable Information |
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Position Desired: |
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Team/Level: |
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Tier: |
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If Trainer, are you presently a qualified trainer? |
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NCCP (National Coaching Certification Program) Information: |
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Indicate level attained |
Training: |
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Trained: |
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Certified: |
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I am prepared to take courses to upgrade my NCCP level: |
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NCCP #: |
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Are you a certified Field Lacrosse Coach ? |
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Field Lacrosse Coaching Experience : |
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Association: |
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Age Level: |
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Position: |
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Year: |
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Team Level: |
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Other pertinent experience and / or qualifications: |
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I have confirmed the following people to assist with the team
(You do not have to have people to help; if you do, please insert their names below.
Other applicants may be asked to participate with the team by the association.) |
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As. Coach: (Name / Phone) |
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As. Coach: (Name / Phone) |
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Trainer: (Name / Phone) |
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Manager: (Name / Phone) |
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References |
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Name: |
Number: |
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Briefly give your coaching philosophy as it applies to lacrosse in general and how it will
benefit Pacific Rim Field Lacrosse.
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I hereby certify that the above information is correct and is an accurate representation of my
qualifications; and because requested, I will supply a C.R.C. (Criminal Record Check) in order to be
considered for this position. |
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