Coach ID Application

Coach ID Request

Full Name: *

Email Address *

Phone Number *

NCCP #: *

Training or Certification (check all that apply - highest certification/training for each discipline) *

Women's Artistic - Level 2 Certified

Women's Artistic - Level 3 Certified

Men's Artistic - Level 2 Certified

Men's Artistic - Level 3 Certified

Gymnastics - Level 4 Certified

Rhythmic - Level 2 Certified

Rhythmic - Level 3 Certified

Trampoline - Level 2 Certified

Trampoline - Level 3 Certified

Women's Artistic Competition 1 (Introduction) - Trained

Men's Artistic Competition 1 (Introduction) - Trained

Women's Artistic Competition 1 (Introduction) - Certified

Men's Artistic Competition 1 (Introduction) - Certified

Women's Artistic Competition 2 (Intro Advanced) - Trained

Men's Artistic Competition 2 (Intro Advanced) - Trained

Women's Artistic Competition 2 (Intro Advanced) - Certified

Men's Artistic Competition 2 (Intro Advanced) - Certified

Rhythmic Competition 1 (Introduction) - Trained

Rhythmic Competition 1 (Introduction) - Certified

My Locker Transcript is up to date, accurately reflecting my Training/Certification listed above: * Yes No, but I have valid documentation for proof of training/certification

I have received an official letter from Gymnastics Canada or Gymnastics Ontario, verifying my certification(s): * Yes No

Letter from GCG or GO *

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Certificate of Completion from NCCP course

Reason for request: * New coach ID request Replacement coach ID request for lost or damaged card * Updated certification Old NCCP coach ID expired Other Change of name

I understand that my Coach ID request will not be processed until I have contacted the Education Program Manager to set up the payment invoice ($16.95). Charge will be allocated to coach's GO Member Club account and coach will be responsible for settling payment with their club administrator. *

Yes

Respect in Sport Certificate (Please note that this certificate is not the same as Risk Management) *

Headshot (High resolution JPEG image with a solid white background and no facial modification of any kind - the use of any filters will delay your application, as photograph will not be used to process the request): *

Full mailing address (please include city and postal code): *

Method of obtaining Coach ID: * Mail Other

How will you be obtaining your Coach ID: *

Any other notes regarding your application:

* Please note:

• You must be a minimum of Level 2 Certified or Competition 1 (Introduction) trained in order to request a Coach ID
• Coaches that have completed training under the updated Competition Stream are required to complete the Make Ethical Decisions (MED) online evaluation for their application to be successfully processed
• Your Locker profile (NCCP #) credentials are required to match the credentials listed in your Coach ID application, or your request will be rejected
  • Exception if you have a letter verifying your certification from GCG

• If you have already been issued a Coach ID in the past and require a replacement card, there will be a fee of $15.00 (+HST)

If you are unsure of your certification, contact the Education Program Manager for assistance (education@gymnasticsontario.ca)