Recruitment Application

Name *

Date of Birth *

Current Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Primary Contact Number *

Email *

National Insurance Number

Legally entitled to work in UK Can you provide confirmation that you are legally entitled to work in the UK (Either a passport, birth certificate of work permit issued by Work Permits UK)

Criminal Convictions *Do you have any criminal convictions (see notes below) If yes please provide details on a separate sheet of paper.

Notes

You should answer YES to the criminal conviction question if any of the following are true;
You have previously been convicted of a criminal offence and the conviction is not 'spent' under the Rehabilitation of Offenders Act 1974
You have received a police caution in the last 5 years
You are currently awaiting trial for an alleged criminal offence

Do you consider yourself to have a disability? Under the Disability Discrimination Act this means that you have a long term (over 12 months) impairment which impacts on your ability to undertake normal day to day activities.

Do you have a full UK driving licence (or EU equivalent)

Do you have your own car and access on a daily basis?

Location

Hampshire and Dorset

Only apply if you are within easy reach of our working area.

Type of Work *

Availability

Now1 Week2 Weeks1 - 3 Months3 - 6 Months6 Months

Role interested in: *

HelperCoach: 18mth School Age ProgrammeCoachLead CoachHead Coach

Are you interested in being a Team manager?

What is your preferred age group?

Under 6Under 7Under 8Under 9Under 10Under 11Under 12Under 13Under 14Under 15Under 16Under 18Adult

CRC Disclosure No.

Date of Issue

Safeguarding Children Certificate Date of Issue

Emergency Aid Certificate Date of Issue

F.A. fan Number

List your Football Coaching Qualifications

Please also provide the Date each was completed.

List any other Sports Qualifications

Please also tell us the level and date completed.

Any additional information you would like us to know?

Do you have any holidays booked?

To

From

Availability:

Mondays

MorningsAfternoonsEvenings

Tuesdays

MorningsAfternoonsEvenings

Wednesdays

MorningsAfternoonsEvenings

Thursdays

MorningsAfternoonsEvenings

Fridays

MorningsAfternoonsEvenings

Saturdays

MorningsAfternoonsEvenings

Sundays

MorningsAfternoonsEvenings

References:

Please provide the names of 2 responsible people whom we can contact and who from personal knowledge is willing to endorse your enquiry. If you have had previous involvment in sport then one of these names should be that of an administrator or leader of your last club or place of involvement.

Referee 1

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email

Occupation

In what capacity haved you known and/or worked with this person?

Referee 2

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email

Occupation

In what capacity have you known and/or worked with this person?

Send us your CV

01489 896 867

Recruitment

Hampshire and Dorset

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Recruitment

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Contact Us

Tecnico Coaching
48 Cunningham Avenue
Bishops Waltham
Southampton
SO32 1DB

01489 896 867

01489 896 867