Karate Alberta Senior Team Coach Application

Name:*

First NameLast Name

E-mail Address:*

Phone Number:*

Area CodePhone Number

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

NCCP Number*

Current occupation?*

Current employer?*

Complete the program & position selection, questions and uploads..

Kumite Senior Provincial Team 2021Kata/Team Kata Senior Provincial Team 2021Para Senior Provincial Team 2021

Kumite Senior Provincial Team 2021Kata Senior Provincial Team 2021Para Senior Provincial Team 2021

Embracing the True Sport Principles is important to ensuring a fair, safe and open environment for athletes. Explain how these principles resonate with you and are reflected in your coaching philosophy ?*

Describe how you will bring the True Sport Principles to life with your team/athletes on and off the field of play:*

Please provide an example of a time when you had to make a tough decision based on your personal values. What was the outcome?*

YESNO

Coaching and/or Child-Serving Organization Experience. Please list your coaching and child-serving organization experience, starting with the most recent.

References I, First Name Last Name , give permission to Karate Alberta to contact the persons listed below for the purpose of obtaining reference information. These persons are authorized to disclose such information.

Please submit the names and contact information for one personal and one professional (if applicable, from a child-serving organization) reference.

Karate Alberta Disclosure Form

Screening Policy LINK

Submit current Police check to Screening Officer for Karate Alberta dave.maffitt@xplornet.com

Disclosure Form below:

Right click to download, complete and upload to application.

Disclosure Form will be received by Heather Fidyk & Dave Maffitt.

If you are uncomfortable with these two people it can be submitted directly to Dave Maffitt, Screening Officier for Karate Alberta dave.maffitt@xplornet.com

Practice Plans
Please submit (upload) a brief outline of the 10 week preparation model for athletes to be prepared for Senior Nationals Sept 25, 2021

Resume
Please submit (upload) a 1-2 page resume

Upload

Applicant's Signature

Date