Program Support Personnel | Northern Inland Academy of Sport

Full Name*

First NameLast Name

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Number*

E-mail*

example@example.com

Indicate the sport you wish to apply for*

What club or sporting organisation are you associated with?

What is your current role in your sport?

Working With Children Check (WWCC) number*

WWCC expiry date*

Date of birth*

Date

Indicate the position you are interested in*

Coaching Qualifications

Current CPR (Cardiopulmonary Resuscitation)

YesNo

Current First Aid

YesNo

Coaching background and experience, incl. qualifications and dates, teaching, program development etc

Northern Inland Academy of Sport is committed to developing potential on and off the field. To assist you with your coaching skills and development please indicate the areas you would like support. For example, furthering your coaching accreditation*

What are your coaching aspirations?

Sporting referee

Referee Name

Street Address Line 2

TelephoneEmail

Sport Program

The Northern Inland Academy of Sport (NIAS) will consider appointing a Head Coach, Manager, Assistant Coach, Trainee Coach and Sports Trainer for each program. The Head Coach and Manager will work in conjunction with the Chief Executive Officer (CEO) and Sports Programs Manager to set the annual program.

Responsibilities include:

Deliver training sessions as outlined in the program schedule.
Supervise athletes in your care.
Attend NIAS training sessions and events, including Academy Games.
Contribute to the planning and development of the program.
Assist in the liaison with State Sporting Organisations (SSO), regional associations and/or clubs.
Participate in professional development opportunities.
Contribute to the reporting process as required.

An appointment in a program role with NIAS is on a voluntary basis. A typical employer-employee relationship does not exist between the two parties. An honorarium arrangement may be agreed to offset expenses incurred in relation to the service/s provided.

All appointments will be made for a period of one year, subject to satisfactory conduct and service. NIAS reserves the right to cease the appointment arrangement at any time. Decisions can be made at the discretion of the Board.

All program personnel must adhear to the NSW Government Office of Sport Conduct and Behaviour, Play By The Rules. https://www.playbytherules.net.au/conduct-and-behaviour

Any breaches of conduct or complaints will be handled through the Compliments, Complaints and Suggestions process.

Selection:

The selection panel may consist of executives, Board Members and a representative from the respective SSO.

Successful nominees will be appointed by the Northern Inland Academy of Sport CEO, and notified accordingly.

Please add any other comment/s to support your application

Should you be successful, please provide your current bank account details. *

Account Name

Bank

BSB Number

Account Number

I, insert your full name , nominate myself for the position/s indicated above with the Northern Inland Academy of Sport.

I have read the information listed above and agree to abide by these statements and policies.

Signature

Clear

Date

Please verify that you are human*

For further information please contact:

Shona Eichorn, CEO

Richard Willis, Programs Manager

Phone: (02) 6766 2526
Email: nias@nias.org.au

Sport Program Support Personnel Application Form