WA CECS Assessment Date Form
This form is to be completed by coaches who have completed the World Athletics Level 1 Online Self-driven course and wish to be assessed to complete their certification.
Name
*
First Name
Middle Name
Last Name
DATE OF BIRTH
*
/
Month
/
Day
Year
Gender
*
Male
Female
N/A
E-mail Address
*
example@example.com
Telephone Number
*
Number of Years Coaching
*
Are You A Member of JATAFCA?
*
YES
NO
Select Your Preferred Assessment Date
*
Please Select
Friday, November 15, 2024, Kingston
Friday, February 7, 2025, Montego Bay
Venue location will be in Kingston, Jamaica
UPLOAD Education Hub Certificate
*
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of
UPLOAD PASSPORT SIZE PHOTO OF YOURSELF
*
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MUST BE ON A CLEAR BACKGROUND
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