USCAC APPLICATION - ATHLETE TRAVEL SUBSIDY

USCAC APPLICATION - COACH AA ACCREDITED COACHING COURSE SUBSIDY

ANNEX B FORM
Coach Name

First NameLast Name
Email
example@example.com
Have you completed an Australian Athletics certified course - Name of course; Date of course
*Attach proof of attendance/ course payment

Cancelof
Have you been a USCAC affiliated coach for a minimum of ONE athletics season?
Yes/No
Are you willing to coach USCAC athletes for a minimum of TWO consecutive seasons?
Yes/no
Do you give permission for USCAC to use coaches information for USCAC promotion
Yes/no
Are you accredited and currently register with Australian Athletics?
Yes/No
Do you have a Working with Children Blue Card & registered card with USCAC?
Yes/no
Support will be given by the following format:
-       Coach will be eligible for reimbursement of only ONE course per athletics season or courses up to the value of $400 per athletics season
-       50% of the course fee will be reimbursed in the current athletic season
-       Final 50% will be reimbursed after the coach has completed one year of USCAC athlete coaching
For reimbursement purposes: Account Name; BSB; Account No.
Date

MonthDayYear
Date
Signature

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USCAC APPLICATION - COACH AA ACCREDITED COACHING COURSE SUBSIDY