Senior Representative Coaches Nomination Form

Senior Representative Coach Nomination Form

Please fill out the details below to nominate for a Senior Representative Coaching Position for the 2026-2027 season.

This is for the Open Mens, Open Women, Second XII Men, U18 Men and Under 18 Women Representative Teams.

Name

First

Last

Mobile

Tournament dates when you need to be available

<ul>
 	<li>Open Men Tournaments
<ul>
 	<li>Far North Fusion - Bulls Masters T20 Country Challenge - Cairns – October 2-4, 2026</li>
 	<li>Round 1 Open Men (Fred Jacobson Shield) – Townsville – 17-18 October 2026</li>
 	<li>Round 2 and 3 Open Men – Mackay – Oct 31 – Nov 1, 2026</li>
</ul>
</li>
 	<li>Open Women Tournaments
<ul>
 	<li>Round 1, 2 and 3 Open Ladies (Weeks-Perry Shield) – Mackay – Oct 31 – Nov 1, 2026</li>
</ul>
</li>
 	<li>Second XII Men Tournaments
<ul>
 	<li>Round 1, 2 and 3 2nd XII (Barry Jansen Shield) – Mackay – Oct 31 – Nov 1, 2026</li>
</ul>
</li>
 	<li>U18 Men Tournaments
<ul>
 	<li>U18 Men (Warren Maher Memorial Shield) – Mackay – 4-6 December</li>
</ul>
</li>
 	<li>U18 Women Tournaments
<ul>
 	<li>U18 Women – Mackay - December 5-6, 2026</li>
 	<li>NOTE: This is a combined Far North and North Queensland team, and the coach will be selected from either zone.
The unsuccessful nominee may be appointed as the team manager.</li>
</ul>
</li>
</ul>

I would like to be considered for the following Coaching positions:

You can nominate for any of these positions and may choose more than one if desired.

Please provide details on past experiences in coaching senior teams and/or your current coaching qualifications

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If you are human, leave this field blank.

Senior Representative Coaches Nomination Form

Senior Representative Coach Nomination Form

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