Coach Information Form

USA Triathlon Level II Coaching Certification Application Form

Application Deadline: March 28, 2025, Course Start Date: April 7th, 2025
Name*

First NameLast NameMembership Number
Email*
example@example.com
Phone*
Primary Address*

Street Address

Street Address Line 2

CityState

Zip Code

Certification Information
Level I Certification Date*

MonthDayYear
Date
Select all specializations (formally Area of Focus) you currently hold:

Short CourseLong CourseParatriathlonYouth and Junior

Coaching Experience
Total years of coaching experience:*
Years as a USA Triathlon Level I certified coach:*
Current coaching position/role:*
Organization/team/club (if applicable):*

Coaching Background
Please list all coaching environments you have experience in (check all that apply):*

Youth Development ProgramsHigh School TeamsCollegiate ProgramsClub CoachingPrivate/ Individual CoachingElite/ Professional AthletesParatriathlonOther
Other (please specify):

Athlete Demographics
What athlete populations have you coached?*

Youth (under 18)College-age (18-22)Adults (23-40)Masters (41+)Beginners/NoviceIntermeidateAdvanced/CompetitiveElite/ ProfessionalPara-athletes

Performance Coaching
Have you coached athletes who have competed at national or international events?*

YesNo
Please provide brief details (level of competition, results):
Highest level of competion any of your athletes has achieved:*

Professional Development
List continuing education activities you've participated in during the past 2 years:*
Professional coaching organizations you belong to:*
Coaching conferences/seminars attended the past 2 years:*
Coaching leadership roles (if any):*

Application Questions
Please describe your coaching philosophy (150 words max):*

0/150
Why are you seeking Level 2 certification, and how do you plan to apply this advanced knowledge? (150 words max):*

0/150

References

Please provide contact information for two professional references:
Reference 1:
Name*

First NameLast Name
Relationship to applicant:*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Reference 2:
Name*

First NameLast Name
Relationship to applicant:*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Supporting Materaials
Coaching resume/CV*

Cancelof
Links to coaching website, athlete testimonials or relevant publications
I certify that all the information provided is true and accurate to the best of my knowledge.*

Clear
Applications must be submitted by September 30th, 2025. The online course begins October 5th, 2025. The course is limited to 20 participants.
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