Coach Expression of Interest Form

2022 Coach Expression of Interest Form

This is an Expression of interest in Coaching at the representative level for Central Coast Rebels and Crusaders in 2022. Central Coast Basketball will do it to place the correct coaches with their preferred teams, however please note that they option you select as your preferred team may not mean that you automatically receive that particular team.

Name (as per drivers license)*
First Last
Phone*
Email*
Drivers License Number*
Working With Children's Check Number*
For Example WWCXXXXXXX
Date of Birth*
DD slash MM slash YYYY
Address (as per your drivers license)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Have you previously coaches a Rebels or Crusaders team?*
- Yes
- No
Coach Accreditation Level*
Is your Accreditation currently up to date (active)?*
Are you a registered member of Basketball NSW?*
Position*
- Select All
- Head Coach
- Assistant Coach
First Preference*
Second Preference*
Third Preference
If you were unsuccessful in gaining a Head Coaching position, would you be willing to be considered for an Assistant Coaching Position?*
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?
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?
Conflict of Interest*
Do you have a basketball related business involving personal coaching?
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?*
Do You Agree To Adhere to the Coaches Code of Conduct*
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*

2022 Coach Expression of Interest Form

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Coach Expression of Interest Form

2022 Coach Expression of Interest Form

Breakers Indoor Sports Stadium

Member Portals

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