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Hi there, please fill out and submit this Canada Soccer Club Licence Coach & Personnel form.
10
Questions
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1
Club
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2
Name of Club representative
First Name
Last Name
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3
What level of Canada Soccer Club Licence are you applying for?
Quality Soccer Provider
PTSO Level 1
PTSO Level 2
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4
Do you submit your active coach information on Coach Centre each season
YES
NO
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5
Please indicate the level achieved in the Soccer Nova Scotia Coaching Standards in the last season reviewed
Gold Standard
Silver Standard
Bronze Standard
No Standard
Don't know
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6
All coaches have completed training and/or certification that is aligned to programs within which they coach and Canada Soccer and/or PTSO standards
YES
NO
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7
All coaches and team personnel have completed Respect in Sport Activity Leader training
This is an actionable criterion
YES
NO
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8
All coaches and team personnel have completed proper Background Screening, including a Criminal Record Check (CRC) with Vulnerable Sector Check (VSC) or Enhanced Police Information Check (E-PIC) within the last 3 years
YES
NO
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9
Name of Goalkeeper Coach
This is an actionable criterion
First Name
Last Name
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10
Submit future or existing goalkeeper integration at your club
This is an actionable criterion
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