EmailMe Form - Team Brunel Coaching Information Form

Welcome

Thank you for signing up to be a Team Brunel coach - we are looking forward to another successful year ahead!

If you have any questions, please contact Christopher.Hepworth@brunel.ac.uk

Privacy Statement:
Please be aware that all data submitted on this form will be processed in accordance with our privacy statement which can be viewed here:

https://docs.google.com/document/d/15PXX17zEQoocXhOFdAXryWzyhnanybmjl0esXUYtf6U/edit

Name *

First Last

Trading name (if any)

Address *

Street Address City State / Province / Region Postal / Zip Code

Phone *

Date of Birth *

MM / DD / YYYY

Email *

National Insurance Number *

Coaching experience and reference contact details: *

Please give details of your coaching experience, qualifications and the contact details for a reference (by providing us with these details you are giving us permission to contact this referee so please obtain their consent first).

Agreed Hourly Rate *

£ Pounds . Pence

Please note, this rate must have been agreed with the club chair and Student Activities before it is can be confirmed.

Are you a current student at Brunel? *

Is this your only job? *

Yes

No

If you answer yes to this question, you may be eligible for worker status, meaning you will receive holiday pay, and statutory sick pay (if entitled). If you answer yes, please contact Francesca.stirling@brunel.ac.uk for further discussions.

Please provide details of your other current employment (company and role) *

Please provide your Unique Tax Reference Number (UTR) *

Name and address of the tax office you are registered with *

Coaching Qualification

Please provide a scanned copy of relevant coaching qualifications related to this role.

File Upload *

Coaching Insurance

Please provide proof of your public liability insurance for this year. If your insurance runs out mid season please send us a copy of your renewal.

Please note - any sessions taken when no valid insurance proof is provided will not be paid.

File Upload *

Are you a Sports Performance Programme Head Coach, Standard Coach or Volunteer Coach? *

Head Coach

Standard Coach

Volunteer Coach