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RFULEVEL 4 CERTIFICATE IN COACHING RUGBY UNION 2020/2021 EXPRESSION OF INTEREST FORM
Person specification:Applicants must be full-time rugby professionals, in one of the below coaching roles (or equivalent) and only those actively coaching a group across a season and for the duration of the course will be considered. Please tick the role(s) which you are in:
1. Please complete all pages of this form with double clicks on “Please Select”; then email to [email protected]. Applications should be received by 17/01/2020 2. Please complete all boxes – Applications will be returned to you if information is incomplete.
RFU ID
First Name Surname
Gender Date of Birth Age
Full Address & Postcode
Home Tel. No. Mobile Telephone No.
Email AddressCorrespondence
for this course will normally be
sent by email
EthnicityI would describe my
ethnic origin as:
Disability Where applicable this
will help course staff to support your learning
needs.
If “Yes”, what is the nature of your
disability?
Please tick the role(s) that reflect(s) your involvement & give the name of the Club / School & CB
Educational Based Team Name of Establishment
Link to Pathway
Club/Adult Team CoachName of Club Constituent Body
(e.g. Leicestershire)
Presently coach to: Please give your title and
add a brief explanation of your role and
responsibilities. If working within an educational
establish please outline the link to the RFU player
pathway.
Current Occupation:
Hearing Learning Dyslexia Other
Visual MobilityMultiple
Do you consider yourself to have a disability?
If known Contact [email protected] if unknown
Performance:Senior National Coach (male or female game) Premiership Coach (male or female game) Championship Coach (male or female game) National League One Coach (male game)
Pathway:England Rugby Representative Team Coach (male or female game)England Rugby Regional Academy CoachTier 1 Rugby Playing School (Champions Trophy), College (AASE) or University (BUCS Super Rugby) senior team coach
Managerial roles in isolation and of a non-coaching capacity, or CB coaching roles alone, will not be considereddue to the course competencies which must be met.
Personal Details
Academic/Professional Qualifications:
a) Supporting yourself?b) Supported by your employer?c) Supported by any other sponsor?
If b) or c) please give name and address of body or person responsible for payment of your fees
Financial Support: How will you finance the course?
Give the names and contact details of the 2 people who you have asked to support your application IN WRITING. They should confirm by email to Andrew Webb [email protected] that you have the knowledge, ability and dedication to complete this coaching course. These referees may or may not be contacted by us.
Referees:
Give details of all post school study or qualifications, or professional qualifications relevant to your application, including any qualifications for which you are studying or awaiting the results. State the title and class of degree or equivalent qualification, the University or Institution by which it was awarded, and the date of the award.
Degree or equivalent qualification
Class University or Institution Dates
Coaching qualifications: Award Venue Dates
Coaching experience: Club\Educational Establishment
Team Dates
Playing experience: Club Team Dates
Coaching Seminars / CPD events attended over the last three years
Dates &Venues
I have a Disclosure and Barring Service (DBS) Check
DBS registration number
Declaration
ADDITIONAL INFORMATION, PLEASE COMPLETE AND RETURN WITH PAGES 1 AND 2
Give details of all your relevant experience of working with Emerging Elite, Performance and/or Elite Players including dates/players/clubs/educational establishments/organisations.
Describe below your key strengths and at least three areas for significant further development, which, if addressed, would make you more effective as a coach of Emerging Elite, Performance and Elite players.
State your Coaching Philosophy or Coaching Approach.
Explain why you wish to achieve the Level 4 qualification.
What are your long-term aspirations as a coach (5 – 10 years)?
The RFU Level 4 Coaching Course is validated by Hartpury University and will provide you, if successful, with credits that could be used towards a postgraduate qualification. Please indicate here if you would be interested in this option at an additional cost, (this is non-binding and merely, an expression of interest).
Please Select
I HEREBY CONFIRM that:1. All the information provided on this application is accurate and true to the best of my knowledge, information and belief.
2. I understand that:
The Level 4 qualification will give membership to the England Rugby Coaches Association.
England Rugby Coaches Association membership will give access to regular information and updates.
A personal CPD portfolio from any self-directed CPD attended, through external providers, can help keepthis membership live via the self-service function on your GMS profile.
Print & Sign Name: Date:
To save all data added into this document, click ‘File’ followed by ‘Save As’, giving the document a name and location plus ensuring it is saved as an Adobe pdf. file prior to attaching it to any email. Changing the file name each time it is updated will avoid any data loss.
Click here for support to ensure that your GMS profile is accurate. Do not create a new GMS profile as this will not show historical awards. Contact your club administrator or [email protected] to confirm your existing login details.
