*Your name and address. (This will not be made public and is for our communication purposes only)

What is your level of coaching qualification? this may be made public

If you answered 'Discipline Specific', which discipline(s) do you coach in? this may be made public

If you have any other complimentary awards or offer any services not listed please describe them below. (If the awards are issued by a body other than Scottish Cycling we may need proof from the awarding body before we add these details to your listing.) this information may be made public

Your public name and address details. (This will be made public, only fill out the fields you wish to be viewed by the public)

Scottish Cycling intends to make the 'public' information given in this survey available through web and email communications. By answering 'yes' to this question you are giving Scottish Cycling the right to use or forward your 'public' details as deemed appropriate by us and you are acknowledging that it is your responsibility to keep Scottish Cycling informed of any changes that should be made to the information published.