| Category: |
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| Do you grant us permission to move a coach to a more suitable cateogry: |
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| How many years the coach has been coaching? |
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| What contributions has the coach made to sport? Please provide specifics on the following, if possible: a) Recognition received for past efforts (i.e. awards), b) other roles undertaken outside of current coaching duties (i.e. board or committee involvement, organizing tournaments, seminars attended), c) involvement with other sports |
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What level of certification has the coach attained?
Be sure to include all levels of NCCP certification for Theory Modules, Techinical (list sport), and Practical (list sport). |
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| What other clinics, seminars, or coaching education programs has the coach attended? |
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What recognition has the coach recieved for his or her contribution to sport?
(ie. awards, trophies) |
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What have been the significant accomplishments of the coach's teams or athletes over the past 5 years?
Please list accomplishments in the following way: Team/Athlete
Sport
Year(s)
Accomplishments |
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How have the coach's teams or athletes demonstrated improvement?
Provide specific examples of athlete/team improvement and achievement of goals. |
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| Provide specific examples of how the coach demonstrates concern for the all-round development of the athlete in assisting the individual in balancing sport, social and educational needs, and in developing confidence, self-discipline, and respect. |
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| Name of Coach: |
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| Address: |
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| City: |
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| Postal Code: |
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| E-mail: |
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| Phone (Work): |
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| Phone (Home): |
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| Nominator's Name: |
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| Daytime Phone Number: |
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| Address: |
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| City: |
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| Postal Code: |
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| E-mail: |
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| What best describes your relationship with the coach? |
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| Name: |
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| Phone Number: |
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