USA Triathlon Level III Coaching Certification Application Form
Application Deadline: March 28, 2025, Course Start Date: April 7, 2025
Name
*
First Name
Last Name
Membership Number
Email
*
example@example.com
Phone
*
Primary Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Certification Information
Level II Certification Date
*
-
Month
-
Day
Year
Date
Select all specializations (formally Area of Focus) you currently hold:
Short Course
Long Course
Paratriathlon
Youth and Junior
Other relevant certifications (NASM, CSCS, etc.):
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Coaching Experience
Total years of coaching experience:
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Years as a USA Triathlon Level II certified coach:
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Current coaching position/role:
*
Organization/team/club (if applicable):
*
The average number of athletes currently under your guidance:
*
Are you currently full-time/ part-time coaching?
*
Full-Time
Part-Time
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Coaching Background
Please indicate all coaching environments you have substantial experience in (check all that apply):
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Youth Development Programs
High School Teams
Collegiate Programs
Club Coaching
Private/ Individual Coaching
Elite/ Professional Athletes
Paratriathlon
Training Camps Director/Lead Coach
Other
Other (please specify)
*
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Athlete Demographics
What athlete populations have you coached?
*
Youth (under 18)
College-age (18-22)
Adults (23-40)
Masters (41+)
Beginners/Novice
Intermeidate
Advanced/Competitive
Elite/ Professional
Para-athletes
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Performance Coaching
Have you coached athletes who have competed at national or international events?
*
Yes
No
Please provide brief details (level of competition, results):
*
Number of athletes you've coached to podium positions at Regional Championships:
*
Number of athletes you've coached to podium positions at National Championships:
*
Number of athletes you've coached to podium positions at International Championships:
*
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Coaching Leadership & Mentorship
Have you mentored other coaches?
*
Yes
No
Please describe your mentorship approach and outcomes
*
Have you led coaching teams or served in director positions
*
Yes
No
Please describe
*
Have you created or contributed to coaching education materials?
*
Yes
No
Please describe
*
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Professional Development
List continuing education activities you've participated in during the past 4 years:
*
Professional coaching organizations you belong to:
*
Coaching conferences/seminars attended the past 4 years:
*
Research or evidence-based coaching methodologies you've implemented:
*
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Application Questions
Please describe your coaching philosophy has evolved since obtaining your Level II certification (150 words max):
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0/150
Describe a challenging coaching scenario you faces and how you resolved it, demonstrating your advanced problem-solving abilities (150 words max):
*
0/150
How have you contributed to the advancement of triathlon coaching in your community and beyond? (150 works max)
*
0/150
What specific aspects of elite performance coaching do you hope to develop through the Level III certification? (150 words max)
*
0/150
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References
Please provide contact information for three professional references, including at least one athlete you've coached to a high level of performance:
Reference 1 (Coach/Professional):
Name
*
First Name
Last Name
Relationship to applicant:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Reference 2 (Coach/Professional):
Name
*
First Name
Last Name
Relationship to applicant:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Reference 3 (Athlete):
Name
*
First Name
Last Name
Relationship to applicant
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Supporting Materaials
Coaching resume/CV
*
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Evidence of coaching success (results documentation, testimonials)
*
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Sample of a periodized annual training plan you've created
*
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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. I understand that the Level 3 certification represents mastery of triathlon coaching and comes with the responsibility to uphold the highest standards of the profession.
*
Applications must be submitted by March 28, 2025. The course is limited to 10 participants.
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