Application form for Camp Coaches 2011

Personal details

• Name: _____________________________
• Address:________________________________________________________________
• Date of Birth: ________________________ Club: _____________________________
• Football    Hurling     Both  

(Please tick appropriate box of sport you would prefer / are qualified to coach)

Contact information

• Phone number 

Home: ________________Mobile: _______________E-mail: ____________________________

Education; (Currently studying at what level please tick)

q  Secondary School – Junior Certificate  _____ Leaving Certificate  _____                                                  

q  Third level

If ticked this box please indicate:

What College: _________________ What Course: _______________________

If not at college please state;

Your occupation: ____________________­­­__________________________

Current Employment Status: _____________________________________

‘If unemployed please state whether on UA, UB, Disability or other – specify’ _____________.

If on UA, UB, Disability or Other, when you are working on the camps will you be coming off one of these Social Welfare Schemes?  Yes __  No __

Coaching Information

• Coaching Experience: (Please indicate information in bullet format) ____________________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________

• Coaching Qualifications: (Please indicate information in bullet format)

________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________

• Have you completed GAA Garda vetting procedure & received clearance?

YES ___   NO ____

If yes please provide a copy. If no please apply ASAP.

Availability to work: Please tick all the boxes if you are available to coach on all camps or selected boxes if only available for certain full week camps. Coaches must attend the full week of each camp. Changes by you to the committed weeks of work will not be accepted. Therefore think carefully before completing the form.

Please return Application Form by; Friday 6th May 2011

To:Paul O’Connor

Football Development Manager

Monaghan County Training Grounds

Cloghan, Annyalla.

Co. Monaghan

086-8374827

developmentmanager.monaghan AT gaa DOT ie