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Representative Coach Nomination Form
Year 7 2019
Trial Dates
TBC
Tournaments
(choose from)
Counties Power TBC
Auckland TBC
North Harbour TBC
Howick Pakuranga TBC
Waitakere TBC
Intercentre Day TBC
Year 7 Rep Coach Nomination
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Indicates required field
Name
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Email
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Contact Home Phone Number
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Mobile Number
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RECOGNISED QUALIFICATIONS RELEVANT TO THE POSITION (include year and level)
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PAST EXPERIENCE RELEVANT TO THE POSITION (previous teams coached, year and to what level)
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LIST ALL OTHER INTERESTS, EXPERIENCE AND ABILITIES RELEVANT TO THE POSITION (could include coaching seminars, coaching other codes, medical knowledge, personal occupation)
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Is There Anything Else You Would Like to Tell Us?
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Register Now