Coaching Course EOI

Coaching Course EOI

EXPRESSION OF INTEREST REGISTRATION
MA licence # (Ridernet ID)*
Name*

First NameLast Name
E-mail*
example@example.com
Contact Number*
What region do you reside in?

WesternNorthernGippslandCentral
Please note that to be considered for any upcoming coaching courses, you must first complete all prerequisite modules on MALC. These modules must be finalised prior to your course application being reviewed.

MALC (Motorcycling Australia Learning Centre.)
Have you completed the MALC online course*

YesNo
Do you Have a current Working with children's check*

YesNo
Working With Children's ID

Cancelof
Do you Have a first aid certificate*

YesNo
First Aid Certificate

Cancelof
Are you currently a coach*

NoClub CoachL1 CoachL2 Coach
Please select what you would like to achieve*

Club CoachLevel 1 CoachLevel 2 Coach
What is your reason for obtaining this accreditation*
What Club do you represent?
Should be Empty: