Return To Coaching Request Form

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I have been absent from coaching for a period of :* This field is required.Please select relevant statement below
Less than 1 (one) year
Less than 2 (two) years
More than 2 (two) but less than 4 (four) years
More than 4 (four) years
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Please contact APSA accreditation officer via email below with your request:

accreditation@apsa.net.au

No additional payment to APSA is required, except your regular State PSA membership fee.
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You must complete a minimum of 3 hours of mentoring to go through any changes and updates to the sport.

Additional payment to APSA is required, in addition to your regular State PSA membership fee.

Please complete the form and payment at the end of the form.
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All levels MUST complete a minimum 5 hours of mentoring with a pre-approved APSA Mentor coach for the level seeking re-accreditation for and in addition the following:

Community Coach (Level 0) - must successfully complete the Community Coach worksheet(s) and a practical assessment (this can be done face to face or via submission of a video to the APSA accreditation officer).

Development Coach (Level 1) - must successfully complete an APSA online Development Coach worksheet for each discipline seeking re-accreditation for and successfully complete a practical assessment (this can be done face to face or via submission of a video to the APSA accreditation officer).

Intermediate Coach (Level 2) - must successfully complete an APSA online Intermediate coach return to coaching worksheet for each discipline seeking re-accreditation for and successfully completing a practical assessment (this can be done face to face or via submission of a video to the accreditation officer).

Senior Coach (Level 3) - must successfully complete an APSA online Senior Coach return to coaching worksheet for each discipline seeking re-accreditation for and a practical assessment (this can be done face to face or via submission of a video to the APSA accreditation officer).

Performance levels (Lvls 4 to 7) - must successfully complete an APSA online performance coaching worksheet for each discipline seeking re-accreditation in and Mentoring hours for levels 1 to 3 MUST include on ice hours. Mentoring hours for Performance Levels should also cover areas as required, i.e changes to ISA and ISU selection policies, Drugs in Sport, Well Being, etc. as well as on ice hours as required.

Additional payment to APSA is required, in addition to your regular State PSA membership fee.

Please complete the form and payment at the end of the form.
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Please sign up for the next available accreditation course.
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State PSA* This field is required.Please select your State PSA in the state of your current residence
NSWPSA (incl. ACT)
VPSA (incl. TAS)
QPSA (incl. NT)
SAPSA
WAPSA
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Full Name* This field is required.As listed on Driver's licence or Passport or Working with Children clearance
First Name
Last Name
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Date of Birth* This field is required.
Date
Day
Month
Year
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Home Address* This field is required.
Street Address
Street Address Line 2
Suburb
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NSW
QLD
VIC
ACT
SA
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TAS
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State
Postcode
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Afghanistan
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Montserrat
Morocco
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Namibia
Nauru
Nepal
Netherlands
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New Caledonia
New Zealand
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Nigeria
Niue
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Norway
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Poland
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Saint Helena
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Samoa
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Yemen
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Other
Country
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Mobile Phone Number* This field is required.
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Email* This field is required.Please type valid email address
example@example.com
Confirm Email
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Your Past Accreditation Level* This field is required.Level 0 (Community) Level 1 (Development) Level 2 (Intermediate) Level 3 (Advanced) Level 4 (Senior) Level 5 (High Performance) Level 6 (Elite) Level 7 (Master)
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I, {fullName} of {address} , would like to apply for reinstatment of my coaching accreditation via Return to Coaching policy.

I understand that I must complete all relevant update points in order to be reinstated as Level {yourPast} coach with {statePsa}.
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