Coach availability

Coach Profile

• COACH/STAFF DETAILS

• Name*
  First Last
• Date of Birth*
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  Month123456789101112

  Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
• Email*
• Mobile Number*
• Other relevant contact information
• Do you have a current Working with Children Check ?*
  If your WWCC is being processed, please enter your application number
  • Yes
  • No
  • No, but I'm a registered teacher
• Working with Children Card number*
• Working with Children expiry date ?*
  Month123456789101112

  Day12345678910111213141516171819202122232425262728293031

  Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920
• Type of Check
  • Volunteer
  • Paid
• You will need to obtain a WWCC prior to commencing work with DFS.*
  • I will apply for a WWCC prior to commencing work with DFS
• If you are a teacher, please enter your Registration number or Blue/exemption card number*

• Statement by a Supplier

  Complete this statement if you: • are an individual or a business • have supplied goods or services to another enterprise (the payer), and • are not required to quote an Australia business number (ABN). Payers must withhold 46.5% of the total payment it makes to you for a supply that you make as part of your enterprise you carry on in Australia, unless an ABN has been quoted or there is no need to quote an ABN.
• The supplier is an individual and has given the payer a written statement to the effect that the supply: is made in the course of furtherance of an activity done as a private recreational pursuit or hobby*
  • I accept
• Declaration: Under pay as you go (PAYG) legislation and guidelines administered by the Australian Tax Office, I am not quoting an ABN for the current and future supply of services for the reason indicated above.*
  • I accept
• Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

• Coach/Staff background information

• AFL playing and/or coaching experience*
  Where possible please indicate the years. (Eg - Head Coach Seniors Bonbeach 2012-2014)
• AFL qualifications or other related qualifications (Eg School Teacher, etc)*
  Where possible please indicate year achieved qualification(s).
• AFL related or similar industry experience
• Areas you feel are your strengths as coach*
• Areas you would like to develop as coach*

• Tax File Number

• Tax File Number*

• Your bank account details

• Account Name
• BSB*
• Account Number*
• I have read the DFS Coach/Staff Contract and agree to the stated terms and conditions:*
  Copy and paste this link into your browser to access the DFS Coach/Staff Contract: http://bit.ly/2sjEoWi
  • Yes, I have read and agree.