First Name:
Last Name:
Mobile Number: (incl. International Code click here for help )
(
+64 (NZ)
+61 (AU)
+44 (UK)
+353 (IRE)
+54 (ARG)
+1 (CAN)
+679 (FIJ)
+33 (FR)
+49 (GER)
+852 (HK)
+39 (IT)
+81 (JPN)
+31 (NT)
+351 (POR)
+7 (RUS)
+685 (SAM)
+65 (SG)
+27 (SA)
+34 (SP)
+676 (TNG)
+1 (USA)
Other
OR
)
Current Contact Phone: (incl. International Code click here for help )
(
+64 (NZ)
+61 (AU)
+44 (UK)
+353 (IRE)
+54 (ARG)
+1 (CAN)
+679 (FIJ)
+33 (FR)
+49 (GER)
+852 (HK)
+39 (IT)
+81 (JPN)
+31 (NT)
+351 (POR)
+7 (RUS)
+685 (SAM)
+65 (SG)
+27 (SA)
+34 (SP)
+676 (TNG)
+1 (USA)
Other
OR
)
Current Work Phone: (incl. International Code click here for help )
(
+64 (NZ)
+61 (AU)
+44 (UK)
+353 (IRE)
+54 (ARG)
+1 (CAN)
+679 (FIJ)
+33 (FR)
+49 (GER)
+852 (HK)
+39 (IT)
+81 (JPN)
+31 (NT)
+351 (POR)
+7 (RUS)
+685 (SAM)
+65 (SG)
+27 (SA)
+34 (SP)
+676 (TNG)
+1 (USA)
Other
OR
)
Email address:
Postal Address:
Photo:
(jpg format only, less than 1MB)
Current location:
Argentina
Australia
Canada
Fiji
France
Germany
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Portugal
Samoa
Singapore
South Africa
Spain
Russia
Tonga
United Kingdom
USA
England
Scotland
Wales
Other
Passport(s):
None
Argentina
Australia
Canada
Fiji
France
Germany
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Portugal
Samoa
Singapore
South Africa
Spain
Russia
Tonga
United Kingdom
USA
England
Scotland
Wales
Other
Passport 2
None
Argentina
Australia
Canada
Fiji
France
Germany
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Portugal
Samoa
Singapore
South Africa
Spain
Russia
Tonga
United Kingdom
USA
England
Scotland
Wales
Other
UK, Irish, French, Italian, Pacific Island or South African parentage or grand-parentage:
Yes No
Please specify if yes:
Date of Birth:
dd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
mm
1
2
3
4
5
6
7
8
9
10
11
12
yyyy
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
Country of Birth:
Argentina
Australia
Canada
Fiji
France
Germany
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Portugal
Samoa
Singapore
South Africa
Spain
Russia
Tonga
United Kingdom
USA
England
Scotland
Wales
Other
Marital Status:
Single
Relationship
Married
Separated
Family Situation:
No Children
Children
Travelling Partners:
none
Wife
Partner
Family
Criminal convictions (yes/no):
Yes
No
Please specify if yes:
Have you ever had an overseas visa before?
Yes
No
Please specify if yes:
How did you find out about Inside Running?
--SELECT--
Newspaper
Flyer
Facebook
Other Internet
Friends
Club
Coach
Rugby Magazine
Package Expectations:
Availability Date:
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2010
2011
2012
Preferred Location:
First
Australia
England
France
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Scotland
South Africa
USA
Wales
Any
Second
Any
Australia
England
France
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Scotland
South Africa
USA
Wales
Third
Any
Australia
England
France
Ireland
Italy
Hong Kong
Japan
Netherlands
New Zealand
Scotland
South Africa
USA
Wales
Rugby Details
Current Club:
Preferred Position:
---SELECT ONE---
Loosehead Prop
Hooker
Tighthead Prop
Lock
Blindside Flanker
Openside Flanker
No. 8
Scrumhalf
Flyhalf
Inside Centre
Outside Centre
Wing
Fullback
Positions Played:
Height:
1.60 metres
1.62 metres
1.64 metres
1.66 metres
1.68 metres
1.70 metres
1.72 metres
1.74 metres
1.76 metres
1.78 metres
1.80 metres
1.82 metres
1.84 metres
1.86 metres
1.88 metres
1.90 metres
1.92 metres
1.94 metres
1.96 metres
1.98 metres
2.00 metres
2.02 metres
2.04 metres
2.06 metres
2.08 metres
2.10 metres
Weight:
-60kg
60kg
62kg
64kg
66kg
68kg
70kg
72kg
74kg
76kg
78kg
80kg
82kg
84kg
86kg
88kg
90kg
92kg
94kg
96kg
98kg
100kg
102kg
104kg
106kg
108kg
110kg
112kg
114kg
116kg
118kg
120kg
122kg
124kg
126kg
128kg
130kg
132kg
134kg
136kg
138kg
140kg
140kg+
Personal Statement - Please outline in one paragraph the type of person you are and anything that will make you attractive to clubs.
Key Skills - Please outline your key skills as a rugby player especially those specific to the position you play.
Rugby History -
For example 2009 - Tauranga sports RFC, premier club, Bay of Plenty, NZ. 16 games. Bay of Plenty NPC development squad, 4 games.
Injury History - Please detail any current or previous injury during the past 2 years where you have been injured for 3 or more weeks.
Coaching Experience - Please outline any coaching experience you have had, including any coaching qualifications.
Rugby References - Please provide names and contact details for two of your most recent coaches. An Inside Running agent will contact these referees before marketing you to clubs.
Employment History - Please provide an outline of your employment experience and the type of employment you are seeking.
Sorry we need to prevent automated emails. Please type the text you see into the box to the right.
Please click this button once only - if you are providing a photo it may take several minutes to complete.