Saint Lucia Olympic Committee
Application Form
Caribbean Coaching Certification Program
Please fill out and submit to the Saint Lucia Olympic Committee House or via email to sloc@candw.lc and to the Project Development Officer at andybehl@ .
Nominating Federation or Organization
← Athletics
← Basketball
← Body Building
← Boxing
← Cycling
← Football
← Golf
← Judo
← Karate
← Lifesaving
← Netball
← Rugby
← Sailing
← Shooting
← Squash
← Swimming
← Table Tennis
← Taekwondo
← Tennis
← Volleyball
← Ministry of Youth Development & Sports
← Ministry of Education – Primary School Teacher / Staff
← Ministry of Education – Secondary School Teacher / Staff
← Other Organization (Please Specify) ______________
|Applicant’s Information |
|Name: |
|Gender: |
|Age: |
|Date of Birth (DD/MM/YYYY): |
|Years Coaching or Involved in Relevant Sport Leadership: |
|Primary Geographic/Political District of Anticipated Coaching: |
|Primary Phone Number: |
|Primary Email Address: |
|Applicant’s Sports Background / Past Involvement in Sport |
|We would like to understand if this applicant has any prior relevant experience in their communities. |
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|(For example, what has the applicant’s involvement in sport been over the past two years? If applicable, what groups or individuals has this person worked |
|with? Have there been any success stories or notable performances through the work with this applicant? How many days/hours was the applicant involved?) |
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|12-Month Action Plan |
|As a nominating organization, there is a responsibility to help ensure the resources dedicated towards coaching development are put into application and the |
|coaches have a plan in place that will provide practical experience to complement the theory work of the CCCP programme. Successful implementation would also |
|be a favorable consideration in applications for future coaching development initiatives. |
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|Brief quarterly reports will be expected to be submitted from the nominating organization for each participating coach to ensure follow-through of applicants,|
|highlight successes and opportunities for improvements in the coaching ecosystem. These quarterly submissions are anticipated to be dueJune 30 |
|(2020);September 30 (2020); December 31 (2020) and March 30, 2021. |
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|What is the plan for how this applicant will apply their skills immediately and over the next 12 months? |
|(For example, what national or local group, club, school or programme will they be a part of? Is there a mentor, supervisor or leader that this coach will be |
|collaborating with? Broadly, what is the anticipated schedule of training these coaches will be guiding and supporting? Where will this coach be serving? What|
|are expected results from this coach’s work? If applicable, please highlight any resources or collaborating programming from the organization that will |
|contribute to the efforts and action plan with the coach.) |
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|Statement of Purpose |
|Please include a statement of purpose from the applicant describing why the applicant is seeking this certification and how it will impact that applicant’s |
|future contribution to their relevant community. |
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|Confirmation of Nomination |
|Both the applicant and the nomination organization have read and understood the Saint Lucia Olympic Committee Inc’s intent and relevant policies regarding the|
|Caribbean Coaching Development Program course and agree to deliver the expected action and relevant supporting documentation in the timeline stipulated in |
|this application document. |
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|The applicant acknowledges that a failure to attend or a lack of full participation throughout the CCCP session will result in potential loss of future |
|development opportunities offered to that individual. |
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|____________________________ ____________________________ ______________________ |
|Applicant Signature Nominating Organization Representative Name & Signature |
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|___________ |
|Date |
Applications should be submitted to the Secretary General of the St. Lucia OlympicCommittee Inc. at SLOC@candw.lcand to the Project Development Officer at andybehl@.
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