Application Form for Volunteer/Coach

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Application Form for Volunteer /Coach 

Name: ____________________________________________________________________

Address: _____________________________________________________________________________________________________________________________

Telephone Number: __________________________________________________________

Description of the role being applied for: ______________________________________________________________________________________________________________________________

Have you ever been asked to leave a sporting organisation in the past?       Yes / No

Please supply the names and contact details of two responsible people whom we can contact and who from personal knowledge are willing to endorse your application, where possible one of these people should be an existing or past member of Cork Harlequins Hockey Club. 

Name:  ______________________________ Telephone Number:  _____________________

Name: _______________________________ Telephone Number: ____________________

I agree to abide by the Code of Conduct for Coaches and Volunteers set down by Cork Harlequins Hockey Club and I agree to be vetted by Hockey Ireland and to complete my Safeguarding 1 Workshop prior to commencement of my involvement in Cork Harlequins Hockey Club.

Signed: ___________________________________ Date: ___________________________

Garda Vetting:   ___________________________   Safeguarding 1 Cert No: __________________

Signed:   ________________________________________   Date: _________________

Chairperson, Cork Harlequins