HIGH PERFORMANCE COACH DEVELOPMENT PROGRAMME Application Form (Cohort 6) This form should be completed in full, electronically or using black ink. The intervention dates for the HPCDP are: 1. 6th and 7th April 2019 2. 21st and 22nd September 2019 3. 22nd and 23rd February 2020 To be eligible for the HPCDP you must make yourself available for all these dates. N.B. - Failure to comply with this requirement will result in losing the 300 refundable deposit requested at the beginning of the course. Please return your application to Robyn Goddard, Education Coordinator - Performance & Judging, British Gymnastics, Ford Hall, Lilleshall National Sports Centre, Near Newport, Shropshire, TF10 9AT or by email to Robyn.goddard@british-gymnastics.org The closing date for applications is 10th March 2019 Forename(s): Personal details Surname: British Gymnastics Membership Number: Present Employer: Present Club: Primary Discipline ACRO MAG TRA AERO RHY TUM DMT TG WAG page 1 of 6
Education/Training Background Outline any formal qualifications/training you have undertaken that are relevant to the High Performance Coach Development Programme, including any certificates related to coaching, learning, behaviour and leadership. Dates Qualification College/University or Training Provider Current Coaching Qualifications Detail your most recent coaching qualification(s) in your gymnastic discipline(s). Discipline Level Date/Cycle ACRO AERO DMT MAG RHY TG TRA TUM WAG page 2 of 6
Coaching History Provide details of any relevant present/past coaching experience. Club Dates from - to Groups worked with/level of participants Recent Coaching Achievements (International Events) Please provide the relevant numbers for the period: 1 July 2016 to Present. Considered International Events No. Athletes Involved Gold Medal Placed Medals First 3 First 6 First 8 Olympic Games World Championships World Cups European Champs (S) European Champs (J) E.Y.O.F. / A.Y.O.F page 3 of 6
Recent Coaching Achievements (National Events) Please provide the relevant numbers for the period: 1 July 2016 to Present. Considered National Events No. Athletes Involved Gold Medal Placed Medals First 3 First 6 First 8 Seniors FIG Eligible as Seniors Juniors or Relevant Age Group Espoirs or Relevant Age Group Under 12 or Relevant Age Group Note: The HPCD Programme is aware of the differences between the disciplines competition structures. The Coaching Achievement Tables are used to assess candidates from the same discipline. Additional Requirements Please indicate if you have any additional (special) requirements. page 4 of 6
Please answer the following questions: Reasons to be considered for the programme How do you feel the HPCDP will benefit you? How will you intend to contribute as a participant on the programme? What are your Post-Programme intentions? COACHING What are your Post-Programme intentions? MENTORING What are your Post-Programme intentions? LECTURING page 5 of 6
READINESS and ENDORSEMENT Your application needs to be endorsed by: 1. the Club s Manager 2. the Discipline s Head Coach (Section to be completed centrally by the relevant Head) Please: approach your relevant referents to fill in this section of the form provide their contact details for verification purposes. ask the referents to outline your suitability and readiness for attending the High Performance Coach Development Programme the Discipline s Head Coach (Section to be completed centrally by the relevant Head) if you fulfil the role of either or both of the above roles, please select an alternative suitable referee and state their role. CLUB Manager In providing this endorsement, the Club fully supports the candidate in this valuable learning experience, appreciating that it may take them away from the club environment for short periods of time. Full Name: For how long have you known the candidate? Years Endorsement: Signature: Yes/No - Reason(s): Contact phone number: Contact mobile number: Email: DISCIPLINE Manager Section to be completed centrally, once all the applications are registered Section to be completed by the relevant Head of Discipline only Full Name: For how long have you known the candidate? Years Endorsement: Signature: Yes/No - Reason(s): Contact phone number: Contact mobile number: Email: page 6 of 6