AUSTRALIAN FOOTBALL LEAGUE ABN: 31 035 246 919 APPLICATION FOR INVITATION TO ATTEND THE 2017 HIGH PERFORMANCE (Level 3) COACHING COURSE. Venue: Crest Room - Etihad Stadium Dates: First Segment – Monday 2nd to Thursday 5th October 2017 Second Segment – 2018 (dates to be confirmed) Costs: $1650.00 (including GST - Course Levy to be paid when invited to attend) NB: Does not include travel to and from Melbourne, which is the responsibility of the participant or their sponsor (course subsidies may be available in certain circumstances). PERSONAL DETAILS: LAST NAME: FIRST NAME: ADDRESS (Private): STATE: P/C: TELEPHONE: MOBILE: WORK: EMAIL: DATE OF BIRTH: / / CURRENT OCCUPATION: CURRENT COACHING POSITION: LEAGUE: CLUB: TEAM: POSITION: CURRENT ACCREDITATION: COACHING HISTORY (see over page) I have read and fully understand the attached selection process and criteria. Signed: Date: Please complete the above details and RETURN NO LATER THAN THURSDAY 13th JULY 2017 TO: AFL Coaching Development Manager Please copy (cc) your relevant State Coaching Manager to the submission of application See contact list in attached Selection Criteria document or visit the
AUSTRALIAN FOOTBALL LEAGUE ABN: 31 035 246 919 APPLICATION FOR INVITATION TO ATTEND THE 2017 HIGH PERFORMANCE (Level 3) COACHING COURSE. Venue: Crest Room - Etihad Stadium Dates: First Segment – Monday 2nd to Thursday 5th October 2017 Second Segment – 2018 (dates to be confirmed) Costs: $1650.00 (including GST - Course Levy to be paid when invited to attend) NB: Does not include travel to and from Melbourne, which is the responsibility of the participant or their sponsor (course subsidies may be available in certain circumstances). PERSONAL DETAILS: LAST NAME: FIRST NAME: ADDRESS (Private): STATE: P/C: TELEPHONE: MOBILE: WORK: EMAIL: DATE OF BIRTH: / / CURRENT OCCUPATION: CURRENT COACHING POSITION: LEAGUE: CLUB: TEAM: POSITION: CURRENT ACCREDITATION: COACHING HISTORY (see over page) I have read and fully understand the attached selection process and criteria. Signed: Date: Please complete the above details and RETURN NO LATER THAN THURSDAY 13th JULY 2017 TO: AFL Coaching Development Manager Please copy (cc) your relevant State Coaching Manager to the submission of application See contact list in attached Selection Criteria document or visit the
HPC_Course_Application_2017_01.docx