Microsoft Forms

South Queensland

2025 Expression of Interest for SQ Management Roles. Please read and respond to the following questions to assist South Queensland with selections for the 2025 SQ teams heading to the QCRU Championships in Townsville June 27-29.
MyRugbyID Number*
Full name*
Date of birth*

DayMonthYear
Date
Contact mobile number*
Email address*
Residential address*
Subunion*
Club*
Coaching / Management History*
Most noted coaching appointment*
Children's Commission Blue Card*

YesNo
Blue Card Number and State
What Role are you applying for?*

SelectorCoachManagerPhysio / Trainer
Which team are you applying to coach/manage?*

Under 18 GirlsColtsSenior WomensSenior Mens
Signature*

Clear
Should be Empty:

South Queensland