Coach Endorsement Application
Coach Endorsement Application
July 15, 2016 by
janewang
Are you registering as a/an ?
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School Employee / Teacher
Private Coach
Association/Club Coach
How would you like to be endorsed as a teacher?
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Only to teach softball at the school i currently work in
To be able to coach at other schools
At both the school i teach at as well as external education intitutions
Unsure - Please contact me regarding this
You can select more than one option.
State:
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ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Invoicing on my behalf - NSO, SSO, Association
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Softball ACT
ACT - Assocaition
Softball Australia
Private Provider managing my programs:
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Association:
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ACT Fatspitch
ACT Slowpitch
Northside Junior Softball
Saturday Afternoon
Woden Valley
Member of:
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Boomerangs
Gungahlin Angels
I'd Hit That
Jerra Gators
Namadgi Dragons
Queanbayan Bears
Storm
Strikezone
Whispers
Woden Giants
Member of:
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Bandicoots
Dragons
Member of:
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Boomerangs
Evatt Eagles
Joeys
Hawker
Hurricanes
Majura
Member of:
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Boomerangs
Calwell
Classics
Demons
Giants
Jerrabomberra
Queanbayan Bears
Shots Up
Storm
Strikezone
Sutherland
Whispers
Member of:
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Holy Trinity
Monash
Sacred Heart
Stromlo
St Clares High School
St John Vianney
Tadpoles
Yarramula
Invoicing on my behalf - NSO, SSO, Association
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Softball NSW
NSW - Association
Softball Australia
Private Provider managing my programs:
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Be Skilled Be Fit Pty Ltd
Fit Fixtures Pty Ltd
Kelly Sports NSW
PCYC Cessnock
Raelorre Traders (G.S.W.S.A)
OTHER
Name of Private Provider:
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Association:
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Camden Haven / Port Macqurie
Campbelltown
Central Coast
Cumberland Nepean
Dubbo
Far North Coast
Georges River
Hornsby
Illawarra
Macarthur
Manly Warringah
Newcastle
North Shore
Orange
Penrith City
Southern Districts
Sutherland Shire
Tamworth
Wagga Wagga
Member of:
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Diamonds
Lakes Foster
Macleay
Port Phoenix
Warriors
Member of:
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Dolphins
Ingleburn RSL
Redsocks
St Carlos
Storm
Tigers
United
UWS United
Waratahs
Member of:
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Blue Thunder
Comets
Decoys
Mingara
Wingers
Wolvettes
Member of:
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Blacktown Workers
Breakaways
Castle Hill
Cruisers
Eagles
Greystanes
Hills
Phoenix
Quakers Hill Pirates
Seven Hills
St Michaels
Titans
Waratahs
Member of:
Dubbo City Softball Club
Others
Member of:
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Ballina
Blue Sistas
Byron Bay
Cardinals
Casino
Dodgers
Goonellabah
Lismore Workers
Rous
Woodburn
Member of:
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Demons
Guardians
Illawong
Menai Dragons
Milperra
Revesby Heights
Revesby Workers
Runamux
St Christophers
St Josephs
St Lukes
Super Troopers
Sydney Black Sox
Thurabredz
Titans
Tropics
United Fast Pitch
UNSW
Member of:
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Epping Eastwood Tigers
Greenway Giants
Hills Hawks
Mount St Benedicts College
North Rocks
Rouse Hill
Thornleigh
Wildcats
Member of:
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Auslec Hurricanes
Baseballers
Enzed Konnectors
Jaguars
Member of:
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Blue Jays
Harrington Park
Knights
Narellan Sportz
Wanderers
Member of:
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Davidson Forest
Forest Alambie
Monte St Angelo School
North Sydney Leagues
Peninsula
Pittwater
Warringah
Member of:
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Belmont
Camels
Macquarie
Maitland
Port Hunter
Steelers
Strickers
University Camels
Wolves
Member of:
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Forest Allambie
Killara
Kissing Point
North Sydney Leagues
St Ives
Stealers
Thornleigh
UNSW
Wahroonga
Member of:
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Bletchington
Cardinals
Disabilities
Eagles
Just Us
Member of:
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Blue Mountains
Glenmore Park Phantoms
Henry Lawson Hornets
Outlaws
PCSA Blues
Penrith
St Clair Bandits
Sutherland
Warragamba Rangers
Member of:
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CVD Bashers
Liverpool RSL
Magpies
Mounties
Saints
Wildcats
Member of:
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Angels
Arrows
Bonnet Bay
Cronulla RSL
Emeralds
Endeavour Wave
Monkeys
Rebels
Saints
Scorpions
Southern Storm
SS Brewers
St Pats
Tigers
Yarrawarrah Tigers
Member of:
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Damz
Savages
South Strikers
United
Victory
Member of:
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Blu J's
Lake Albert
Saints
South Wagga Warriors
Turvey Park
Invoicing on my behalf - NSO, SSO, Association
*
Softball NT
NT - Assocaition
Softball Australia
Private Provider managing my programs:
*
Assocaition:
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Alice Springs
Darwin
Katherine
Member of:
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Norths
Raiders
Storms
Truckies
Member of:
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Chics
Palmerston Pirates
South Darwin
St Marys
Tracy Village
Waratahs
Member of:
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Barramundi's
Wanderers
Invoicing on my behalf - NSO, SSO, Association
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Softball QLD
QLD - Association
Softball Australia
Private Provider managing my programs:
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Kelly Sports QLD
OTHER
Name of Private Provider:
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Association:
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Brisbane
Bundaberg
Caboolture
Cairns
Gladstone
Gold Coast
Hervey Bay
Ipswich
Logan City
Mackay
Maryborough
Mount Isa
Noosa District
Redcliffe
Redlands
Rockhampton
South Brisbane
Suncoast Hinterland
Toowoomba
Wynnum
Member of:
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Albany Crek & Samford Dist
Bears
Bruins
Devils
Falcons
Jaguars
Ligers
Panthers
Ramblers
Redbacks
Redsox
Royals
Saints
Southside Stingers
Stealers
Waratahs
Wilston Grange
Member of:
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Across The Waves
Bangara Bandits
Brothers United
North Bundaberg Eels
South Sluggers
United
Western Suburbs
Member of:
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Allstars
Angels
B52's
Budgie Smuglers
Cavaliers
Demons
Kilcoy Hammers
Kings & Queens Team
Mac Cats
Marauders
Super League
Tigers
Warriors
Member of:
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Cardwell Strikers
Cardwell Warriors
Hawks
Douglas
Hooters
Panthers
Redsox
Steelers
Member of:
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Crocs
Harbour City Hawks
Stallions
Souths
Telfords
Member of:
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Cardinals
Diamonds
DWA
Juniors
LTD
Lygers Blue
Lygers Lilacs
Roonies
Sharks
Tigers
Tweed Coast Warriors
Vixens
Member of:
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Misfits
Sloggers
Terrors
Member of:
*
Bombers
Giants
Lowood
Musketeers
Outlaws
Raiders
Rebels
Tigers
Member of:
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38rs
Algester Arrows
Arrows
Aussie Mozzies
Blue Sox
Bombers Blue
Camira
Cougars
Lightning Strikes
Mavericks
Menace
Misschiefz
Ramblers
Tornados
Member of:
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Dragons
Hawks
Mackay
Misfits
Member of:
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Aztecs
Inacs
Sparx
Member of:
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Pirates
Rebels
Red Devils
Wanderers
Member of:
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Dodgers
Redsox
Slammers
Member of:
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Archives Ream
Bets Vets TEam
Brighton Roosters
Cougars
F Troop
Focus
Lakers
Peninsula Eagles
PK
Redcliffe PCYC
Renegades
Tat 2 Dragons
Member of:
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Mariners
Raiders
Scorpions
Sharks
Wildcats
Member of:
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Bluebirds
Frenchville
Magpies
Outlaws
Member of:
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Dodgers
Griffith University
Redbacks
Member of:
*
Bandits
Redbacks
Stingrays
Swingers
Member of:
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Aces
All Stars
Devils
Dodgers
Warriors
Member of:
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Brisbane Giants
Marist
Springwood
Tan
Invoicing on my behalf - NSO, SSO, Association
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Softball SA
SA - Association
Softball Australia
Private Provider managing my programs:
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Engage Sports
Gecko Sports SA
Kelly Sports SA
Stay Active SA
OTHER
Name of Private Provider:
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Association:
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Adelaide Comp
Broken Hill
Central Districts
Gawler
Hills
Mens Fastpitch
Mt Gambier
Northern Area
Port Augusta
Port Pirie
Riverland
Sunraysia
Member of:
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Glenelg Rebels
Southern Districts Saints
Port Adelaide
Legends
Seacombe
Sturt
Walkerville
West Torrens
Member of:
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Broken Hill Rebels
Central Broken Hill
Excelsior Softball Club
North Broken Hill
Penguins Softball Club
South Broken Hill
Tigers Softball Club
West Broken Hill
Member of:
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Central United
Hornets
Ingle Farm Falcons
Playford Phantoms
Roadrunners
United
Valley View Eagles
Member of:
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Bluejays
Giants
Kangas
Trinity
Two Wells
Member of:
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Bridgewater
Echunga
Hahndorf
Macclesfield
Mount Barker Redsox
Pirates
Strathalbyn
Torrens Valley Redsox
United
Member of:
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Bandits
Rays
Sharks
Tigers
Member of:
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Demons
Warriors
Wanderers
Concordes
Member of:
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Demons
Phontoms
Hornets
Hillbillies
Member of:
*
Checkmates
Cougars
Solly Cats
Tigers
Member of:
*
Berri
Cobdogla
Loxton Strikers
Monasj
Renmark
Waikerie
Member of:
*
Bears
Eagles
Magpies
Rebels
Sandalot
Invoicing on my behalf - NSO, SSO, Association
*
Softball TAS
TAS - Association
Softball Australia
Private Provider managing my programs:
*
Association:
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Latrobe & Districts
Northern TAS
Southern TAS
Ulverstone
Member of:
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Bears
Legends
Panthers
Raiders
Member of:
*
Eagles
Saints
Member of:
*
Central Bears
Eastern Lightening
Raiders
Member of:
*
Forth
Kruizers
Dragons
Rangers
Redbacks
Zodiacs
Invoicing on my behalf - NSO, SSO, Association
*
Softball VIC
VIC - Association
Softball Australia
Private Provider managing my programs:
*
Gecko Sports VIC
Kelly Sports VIC
Melbourne Sports Institute
OTHER
Private Provider if not in list:
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Kelly Sports Office / Franchise:
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Bendigo
Berwick & Seaford
Blackburn
Burwood
Camberwell
Dingley
Essendon
Geelong
Greater Ballarat
Hallam Valley
Inner Northern & Strathmore
Ivanhoe
Knox/Waverley
Mooroolbark
Mornington
Northwest
Plenty Valley
Sandringham
Templestowe
Western Region
Wyndham
Gecko Sports Office / Franchise:
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Knox
Western Region
Geelong
Association:
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Albury
Casey
Dandenong
Geelong
Keilor Park
Knox
Northern District
Sunbury
Sunshine
Waverley
Werribee
Member of:
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Bears
Boomerang Braves
Comets
Phontoms
Scots
Strikers
Tigers
Wodonga
Member of:
*
Berwick Braves
Bunyip Black Sox
Cranbourne
Doveton
Hallam Cobras
Cheifd United
MVP
Narre Warren
Royal Falcons
Member of:
*
Pinewood
Rosewood
South East Angels
Southern Knights
Springvale
Member of:
*
All Stars
Birralee
Cougars
East Belmont
Melbourne Pirates
Newcomb
Ocean Grove
Member of:
*
Craigieburn
Comets
Melbourne Pirates
Metrans
Member of:
*
Bluebirds
Hard Knox
Heathmont Raiders
Kilsyth Diamonds
Lilydale Ejays
Worowa
Member of:
*
Cheetahs
Monarchs
Rebels
West Coburg Redbacks
Member of:
*
Goonawarriors
Jackson Panthers
Sherwood Knights
Member of:
*
Albion North
Deer Park
Kotaku
Hiway
Meteors
Member of:
*
Brandon Heights
Eastern Raiders
Glen Waverley
Monash Magic
Northvale
Northwood Falcons
Syndal
Member of:
*
Altona
City Raiders
Giants
Hobsons Bay Pirates
Iramoo
Laverton
Western Viapers
Invoicing on my behalf - NSO, SSO, Association
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Softball WA
WA - Association
Softball Australia
Private Provider managing my programs:
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Gecko Sports WA
Kelly Sports WA
Vinten Sports
OTHER
Name of Private Provider:
*
Association:
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Albany
Bunbury
Eastern Goldfields
Geraldton
Perth Softball Leagues
Rockingham City
SEMSA
WASA Winter Mens Comp
Member of:
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Bunbury Tigers
Leschenault
Member of:
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Balcatta
Ballajura
Balga Bandits
Bayswater Morley
Bedford Womens
Bedford Mens
Carine Cats
Cockburn Cougars
Dianella Demons
Fremantle Rebels
Jaguars
Jandakot Eagles
Melville
Midland Scorpions
Morley Eagles
North Coast
Perth Cubs
Perth Outlaws
Pirates
Ravens
Spencer Magpies
Swan Districts
Twin City
UWA
Vikings
Wanneroo
Yangebup
Member of:
*
Crusaders
Oldies
Member of:
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Breakaways
Burrendah
Cougars Ladies
Dragons
Empires
Kalmunda
Kelmscott
Panthers
Peppars
Rebels
Redbax
South Thornlie Redsox
Southern Strikers
Swans
Thornlie Hawks
Willetton
Member of:
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Bedford Invasion
Southside Mariners
Vikings
School Name:
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School Address
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Street Address
Address Line 2
City
State
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
PERSONAL INFO:
Name:
*
First
Last
Email:
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Phone:
*
Address:
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Street Address
Address Line 2
City
State
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Postcode
DOB:
*
Date Format: DD slash MM slash YYYY
Gender
*
Male
Female
Prefer not to disclose
PLEASE PROVIDE:
Current Employee Working with Children Check relevant to the state sessions will be conducted:
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Coaching General Principles and/or accreditation in another Sport:
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Softball Australia Coaching Accreditation – Online Induction or higher:
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I AGREE TO:
Complete all requirements to become officially endorsed to conduct Softball as part of the Sporting Schools Program
Conduct all sessions in line with the Softball Batter Up (SBU) Softball Australia endorsed program
Run all programs in line with Australian Sports Commission (ASC) and Softball Australia requirements for the Sporting Schools Program
Inform your organisation of any changes to programs being delivered
Any concerns with duty-of-care will be reported to your organisation and/or Softball Australia
Conduct all programs in a professional manner
I agree to:
*
I agree
Name
*
First
Last
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