LEVEL 2 COACHING COURSE APPLICATION FORM
PERSONAL DETAILS
1. First Name
2. Surname
3. Club
4. Gender
Male
Female
_______
_______
5. Date of Birth
6. Nationality
7. Address
8. Phone Number
COACHING DETAILS
9. Official degree in coaching
 You must have attended a Level
1 coaching course
Yes
___
No ___

Child Awareness course
Yes
___
No ___

Garda Vetting must be up to
date
Yes
___
No ___
___________________________________

Please provide information
about the name of any other
degree and where you attended
the courses
___________________________________
___________________________________
Garda Vetting Reference no:
______________
Access NI no:
______________
Child Awareness Reference no:
______________
Signed by club secretary
______________
Notes:
If you attended and passed a Level 1 Coaching course previous to 2014 you must
attend a Child Awareness course. This course can be arranged by your Local Sports
Partnership.
COMPLETED FORMS TO BE SENT DIRECTLY TO LISA DOYLE IABA
OFFICE
PLEASE ENCLOSE ONE PASSPORT SIZE PHOTO AND THE FEE OF €300
CHEQUE OR POSTAL ORDER – DO NOT SEND CASH IN POST