Club Coach On-Green Assessment Form

Club Coach On-Green Assessment
Before submitting your application, please ensure the following:
- you have obtained your Working with Children Checks clearance and it's ready for upload
- your address is current in your Bowlslink profile
Name*

First nameLast name
NIN
National Identification Number
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
WWCC#*
Your working with children check number
WWCC expiry date*

DayMonthYear
Please input expiry date
Club*
Region:*
Coach Declaration
I hereby apply for my accreditation under the National Coaching Accreditation Scheme (NCAS).To obtain my coaching accreditation, I acknowledge that: (please tick)*

I have completed the theory portion of the Club Coach Course online through BowlsLearn.I will attend an On Green Assessment presented by an accredited Presenter and Assessor (P&A) - Bowls NSW Ltd will arrange the course.I have obtained a Working With Children Check (volunteer or employee) through Services NSW & supply my WWCC details & copy to those clubs where I coach & to Bowls NSW Ltd.My information will not be used or disclosed except in accordance with the provisions of the Privacy Act 1988. I may be contacted directly by Bowls Australia regarding my coach accreditation and my information will not be passed on to a third party.If you have any privacy concerns or would like to verify information we hold about you, please contact Bowls NSW Ltd. If you have any special needs, literacy or numeracy impairment or any other conditions that require consideration, please provide details of any modifications or assistance you require to undertake this course. Information provided will be kept in the strictest confidence.
Please upload your valid Working With Children Checks (WWCC)*

Please upload a copy of your Working With Children Checks Clearance
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Date of assessment:*

DayMonthYear
*Please refer to the Bowls NSW website for upcoming On-Green assessment dates & locations.
Location of assessment:
*Please refer to the Bowls NSW website for upcoming On-Green assessment dates & locations.
Accreditation Type*
prevnext( X )
Club Coach
$110.00AUD Quantity

Total

$0.00AUD
Should be Empty:

Club Coach On-Green Assessment

Coach Declaration