World Rugby Strength & Conditioning Level 2 2018/19

Note of Interest

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* 1. Full name?

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* 2. Email address

Primary email

Secondary email

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* 3. Mobile number?

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* 4. Date of Birth?

Date

Date

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* 5. Have you completed the World Rugby Strength & Conditioning Level 1 course?

Yes

No

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* 6. The World Rugby Strength & Conditioning Level 2 is a 4 day course. Would you be able and prepared to attend a 4 day residential course held during the week if notified well in advance?

Yes

No

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* 7. What experience do you currently have in coaching strength and conditioning?

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* 8. Why do you believe the course would benefit you as a coach?

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* 9. Please detail your last 5 years coaching experience (including dates)

1

2

3

4

5

6

7

8

9

10

11

12

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* 10. What coaching achievement are you most proud of?

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* 11. What are your long term coaching aspirations?

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* 12. Describe your coaching style or approach?