Performance Pathway Application Form

Performance Pathway Application Form
Performance Pathway Coaching Accreditation Standards.

Please read the Performance Pathway Coaching Accreditation Standards document which can be found on the Apsa website: www.apsa.net PRIOR to completing this form.
Name

First Name Last Name
E-mail
example@example.com
Phone Number

Area Code Phone Number
Member of:

NSWPSA QPSA SAPSA VPSA WAPSA
Number of years coaching:
Current level of accreditation
Note: Coaches MUST hold Advanced (level 3) accreditation for a minimum of 12 months. Due to the extended time since the last level 3 course, special consideration will be made to those coaches who hold Advanced (Level 2) accreditation and have met the Performance Pathway criteria. They will be given the opportunity to fast track the Advanced Accreditation course and after successful completion will be eligible for Performance Pathway accreditation without the pre requisite 12 month waiting period.
Athlete / Team 1
Athlete / Team name
Discipline

Singles Pairs Ice Dance Synchronized Skating
Event for Consideration
Year/season of event
Athlete or Team managers name and contact details. Email/Phone
Upload PDF from the designated event

Cancel of
Athlete / Team 2
Athlete / Team name
Discipline

Singles Pairs Ice Dance Synchronized Skating
Event for consideration
Year/season of event
Athlete / Team managers name and contact details. Phone/email
Upload PDF from the designated event

Cancel of
Athlete / Team 3
Athlete/Team name
Discipline

Singles Pairs Ice Dance Synchronized Skating
Event for consideration
Year/season of event
Athlete/Team managers name and contact details. Phone/email
Upload PDF of designated event

Cancel of
Athlete/Team 4
Athlete / Team name
Discipline

Singles Pairs Ice Dance Synchronized Skating
Event for consideration
Year/season of event
Athlete/Team managers name and contact details. Phone/email
Upload PDF of designated event

Cancel of
Additional information you would like to submit
Should be Empty:

Performance Pathway Application Form

Performance Pathway Coaching Accreditation Standards.

Athlete / Team 1

Athlete / Team 2

Athlete / Team 3

Athlete/Team 4