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2020 Coach Record

This document is a coach/assistant coach record (CACR) form containing personal and educational details as well as sports training and experience for a teacher applying for a coaching position. It includes sections for personal data, educational qualifications, sports training attended in the last three years, sports track record and experience, and signatures of those attesting to and screening the information. The form is to be used to track a coach's qualifications and participation for division, regional and national athletic competitions.
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0% found this document useful (0 votes)
651 views2 pages

2020 Coach Record

This document is a coach/assistant coach record (CACR) form containing personal and educational details as well as sports training and experience for a teacher applying for a coaching position. It includes sections for personal data, educational qualifications, sports training attended in the last three years, sports track record and experience, and signatures of those attesting to and screening the information. The form is to be used to track a coach's qualifications and participation for division, regional and national athletic competitions.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Revised as of September 26, 2019

CACR (COACH /ASST.COACH RECORD)


X
Region

LANAO DEL NORTE


Division
Latest 1½ x 1½ picture

A. PERSONAL DATA:

Name:
(Last) (First) (M.I.)

Sex: Mobile Phone Number:

Date of Birth: (mm/dd/yy) Age: Place of Birth:

School: Employee Number:


Current Position: TEACHER 1 Years in Service:
Address of School:
Present Address:
In Case of Emergency
Please Contact: Contact Number:

B. Educational Qualifications:
Course (College/Post
School Year Graduated Credits Earned Awards Received
Graduate)

C. Sports Training Attended for the last three (3) years


Title of Sports Training Date of Training No. of Hours Conducted by

D. Sports Track Record/Experience


Athletic Meet Attended Inclusive Dates Event Awards Received

Prepared by: Attested by: Verified by:

THIEMANN C. GUBAT ARLENE D. MANGINSAY Ph. D. EDILBERTO L. OPLENARIA


(Coach /Asst. Coach Signature over Printed Name) (Division Sports Officer Signature over Printed Name) (Division AO/SDS Signature over Printed Name)

Screened by:

Division Meet Regional Meet Palarong Pambansa

(Signature of DSAC over Printed Name) (Signature of RSAC over Printed Name) (Signature of NSAC over Printed Name)

Date: ______________ Date: ______________ Date: ______________


FOR SCHOOL SPORTS (Division, Region, Palarong Pambansa)

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