Application for Coaching Renewal

First Name

Last Name

Age on date of course

Address

Address Line 1

Address Line 2

Town/City

County

Post Code

Country

Phone/Mobile

Association

Grade

Expiry Date

Level of coach award I am taking

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I have attached a copy of the following documents (Please Tick)

Current 1st Aid Certificate

Current Professional Indemnity Insurance

Current DBS Taken out with the https://gbg.onlinedisclosures.co.uk/

Copy of my last Coaching Certificate

Copy of coaching certificates for the appropriate levels from EDUCARE

Copy of Anti Bullying CPD Certificate

Coaching Renewal Level I am taking. (Please Tick)*

Level 3. £101.00

Level 4. £101.00

*All levels must be taken in order

Your grade today

Date of your last grade

For more information telephone the Coaching Tutor on 07816 922307. After returning this form you will receive a welcome email from Open Learning where it will give you your login details to complete the course modules

Anti-Bullying Alliance CPD Guide

Before the BJJAGB can provide you with a link to complete the online coaching renewal courses, each candidate must complete the Anti-Bullying Alliance online CPD course. You can access this through the link below:

https://www.anti-bullyingalliance.org.uk/tools-information/schools-and-teachers/free-cpd-online-training

Certificate

Once the Anti-Bullying CPD is complete, each candidate must provide their certificate to the BJJAGB as part of the application to be invited to complete the online renewal course.

Any Candidate who has specific Challenges such as dyslexia etc. should contact the Director of Coaching in order that a moderator can be arranged to assist you.

YOU WILL BE ADVISED/CONTACTED FOR FURTHER INFORMATION BY YOUR COACH TUTOR

Summary & Checklist

Payments

Visit this link to pay - https://portal.nestmanagement.co.uk/event/Index?t=WGJJT1FsMDFJNzZHRVNXSFU4L3lXZz09

Checkbox Field

I am applying for Level 3 Club Coach Renewal

I am applying for Level 4 Senior Coach Renewal

I have completed payment of £101 for my renewal course

I have sent copies of My CRB/DBS to the BJJA GB

I have completed My 1st Aid either online or elsewhere and have enclosed my Certificate

I understand that all the above paperwork, coursework, modules, DBS/1St Aid must be completed and emailed to the BJJAGB 4 weeks prior to the course

No Coaching Course application can be accepted without your association leader emailing confirmation to the coach Co-ordinator coachingcoordinator@icloud.com that you have been nominated to attend the coaching course.

Association Leaders Name