LAOIS Kelloggs GAA Cul Camps COACHES APPLICATION FORM 2016
LAOIS Kelloggs GAA Cul Camps COACHES APPLICATION FORM 2016 ANYBODY WISHING TO RECEIVE SUMMER CAMP WORK MUST BE BORN ON/BEFORE 01/06/1998 Personal Details:
Name: _____________________________________ Address:____________________________________________________________________ Date of Birth:___________________ Club: _____________________________________ Football Hurling Both
(Please circle appropriate sport you would prefer to coach)
Contact Information
Phone Number
Home:_________________
Mobile:_________________
E-mail:________________________
Education: (Currently studying at what level please circle)
Leaving Cert
Third Level
If not at college please state: Your Occupation:_____________________________________________ Current Employment Status:____________________________________
PPS No.__________
Coaching Information
Coaching Experience: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Coaching Qualifications: PLEASE PROVIDE COPIES OF COACHING QUALIFICATIONS ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
What is your current involvement in Coaching or playing Gaelic Games?
_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
Have you completed GAA Garda vetting procedure & received clearance? YES_____
NO_____
If yes please provide a copy. If no please apply ASAP through your clubs Childrens Officer.
Please return Application Form by Friday, 20th May To: Ciarán Muldowney Laois GAA Cul Camps co-ordinator Laois GAA Offices, Parkside, Portlaoise, Co.Laois 085-8351131 [email protected]
Name: _____________________________________ Address:____________________________________________________________________ Date of Birth:___________________ Club: _____________________________________ Football Hurling Both
(Please circle appropriate sport you would prefer to coach)
Contact Information
Phone Number
Home:_________________
Mobile:_________________
E-mail:________________________
Education: (Currently studying at what level please circle)
Leaving Cert
Third Level
If not at college please state: Your Occupation:_____________________________________________ Current Employment Status:____________________________________
PPS No.__________
Coaching Information
Coaching Experience: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
Coaching Qualifications: PLEASE PROVIDE COPIES OF COACHING QUALIFICATIONS ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
What is your current involvement in Coaching or playing Gaelic Games?
_______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
Have you completed GAA Garda vetting procedure & received clearance? YES_____
NO_____
If yes please provide a copy. If no please apply ASAP through your clubs Childrens Officer.
Please return Application Form by Friday, 20th May To: Ciarán Muldowney Laois GAA Cul Camps co-ordinator Laois GAA Offices, Parkside, Portlaoise, Co.Laois 085-8351131 [email protected]
