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Mezzanine Function Room
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Rising Rebels Sessions (5-17 years)
Basketball Skills School Visits
Individual Coaching
Seniors Week – Walking Basketball Session
Competitions
Miniball
Junior
Senior
Scrimmage
Netball
Volleyball
3 x 3 Competition
Looking for a Team / Player
Representative
Rebels – Junior
Crusaders – Senior
Coaches
Premierships / Awards
Contact Us
About Us
Policies & Procedures
Our Association
Life Members
Our Board
Our Team
Join Our Team
Mezzanine Function Room
Central Coast Basketball Golf Cup Challenge
Development
School Holiday Camps
Minis (18mths-5years)
Aussie Hoops (5-9 years)
Rising Rebels Sessions (5-17 years)
Basketball Skills School Visits
Individual Coaching
Seniors Week – Walking Basketball Session
Competitions
Miniball
Junior
Senior
Scrimmage
Netball
Volleyball
3 x 3 Competition
Looking for a Team / Player
Representative
Rebels – Junior
Crusaders – Senior
Coaches
Premierships / Awards
Contact Us
Coach Expression of Interest Form
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Coach Expression of Interest Form
Coach Expression of Interest Form
Name (as per drivers license)
*
First
Last
Phone
*
Email
*
Drivers License Number
*
Working With Children's Check Number
*
For Example WWCXXXXXXX
Date of Birth
*
Date Format: DD slash MM slash YYYY
Address (as per your drivers license)
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Have you previously coaches a Rebels or Crusaders team?
*
Yes
No
Coach Accreditation Level
*
Not accredited
Club (Level 1)
Association (Level 2)
Is your Accreditation currently up to date (active)?
*
Yes
No
Not Sure
N/A
Are you a registered member of Basketball NSW?
*
Yes
No
Not Sure
Position
*
Select All
Head Coach
Assistant Coach
First Preference
*
U12W Division 1
U12W Division 2
U12W Division 3
U12M Division 1
U12M Division 2
U12M Division 3
U14W Division 1
U14W Division 2
U14W Division 3
U14M Division 1
U14M Division 2
U14M Division 3
U16W Division 1
U16W Division 2
U16W Division 3
U16M Division 1
U16M Division 2
U16M Division 3
U18W Division 1
U18W Division 2
U18M Division 1
U18M Division 2
U18M Division 3
Crusaders Youth Women Div 1
Crusaders Youth Men Div 2
Crusaders Youth Men Div 1
Crusaders State League Men
Crusaders Championship Women
Crusaders Championship Men
Second Preference
*
U12W Division 1
U12W Division 2
U12W Division 3
U12M Division 1
U12M Division 2
U12M Division 3
U14W Division 1
U14W Division 2
U14W Division 3
U14M Division 1
U14M Division 2
U14M Division 3
U16W Division 1
U16W Division 2
U16W Division 3
U16M Division 1
U16M Division 2
U16M Division 3
U18W Division 1
U18W Division 2
U18M Division 1
U18M Division 2
U18M Division 3
Crusaders Youth Women Div 1
Crusaders Youth Men Div 2
Crusaders Youth Men Div 1
Crusaders State League Men
Crusaders Championship Women
Crusaders Championship Men
Third Preference
U12W Division 1
U12W Division 2
U12W Division 3
U12M Division 1
U12M Division 2
U12M Division 3
U14W Division 1
U14W Division 2
U14W Division 3
U14M Division 1
U14M Division 2
U14M Division 3
U16W Division 1
U16W Division 2
U16W Division 3
U16M Division 1
U16M Division 2
U16M Division 3
U18W Division 1
U18W Division 2
U18M Division 1
U18M Division 2
U18M Division 3
Crusaders Youth Women Div 1
Crusaders Youth Men Div 2
Crusaders Youth Men Div 1
Crusaders State League Men
Crusaders Championship Women
Crusaders Championship Men
If you were unsuccessful in gaining a Head Coaching position, would you be willing to be considered for an Assistant Coaching Position?
*
Yes
No
Please summarise your past Head Coaching experience at the level or above for which you have applied (in terms of years, teams & programs)
*
What are your key personal & coaching attributes that you believe make you a suitable candidate for this head coach position?
*
Conflict of Interest
*
Are you related to a player eligible for selection in the age group and gender in which the application is being made?
No
Yes
Conflict of Interest
*
Do you have a personal relationship (e.g. a personal friend of the family) with an athlete or athletes in the age group and gender in which the application is made?
No
Yes
Conflict of Interest
*
Do you have a basketball related business involving personal coaching?
No
Yes
If you have answered "Yes" to any of the conflict of interest questions please indicate how you would manage the conflict?
*
Are You Prepared To Facilitate 2 Training Sessions Per Week?
*
Yes
No
No, but i could commit to 1 session per week
Do You Agree To Adhere to the Coaches Code of Conduct
*
Yes
No
Available on our website https://bistadium.com.au/policies-procedures/
Please provide the name of a coach who may be a reference for you (and who we may contact if necessary)
*
Please provide a contact mobile number for the coach listed above
*
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