BROCKVILLE BASKETBALL ASSOCIATION
2019-20 COACHING APPLICATION FORM. WE ARE NOW ACCEPTING APPLICATIONS FOR THE 2019-20 SEASON FOR ALL LEVELS OF BASKETBALL. THE SUCCESSFUL CANDIDATES WILL BE REVIEWED BY THE EXECUTIVE AND THE CHOSEN CANDIDATE WILL BE GIVEN THE OPPORTUNITY TO COACH THAT TEAM.

APPLICANT INFORMATION
NAME
Your answer
ADDRESS - CITY POSTAL CODE
Your answer
PHONE NUMBERS (H) (C)
Your answer
PREFERRED EMAIL (REQUIRED)
Your answer
COACHING INTERESTS
DIVISION / AGE GROUP
GENDER OF TEAM
DO YOU HAVE A CHILD INVOLVED? NAME?
Your answer
COACHING QUALIFICATIONS - NCCP #
Your answer
BASKETBALL TECHNICAL LEVEL
HAVE YOU ATTENDED COACHING CLINICS?
HOW MANY YEARS OF COACHING EXPERIENCE
Your answer
TEAM COACHED LAST YEAR IF ANY
Your answer
TEAMS COACHED IN PREVIOUS YEARS
Your answer
PLEASE GIVE 2 PERSONAL REFERENCES (NAME AND PHONE NUMBER)
Your answer
SEASON SUMMARY - GENERAL DESCRIPTION OF WHAT YOU EXPECT TO ACHIEVE WITH TEAM. WHAT YOU EXPECT FROM THE ASSOCIATION FOR COACHING RESOURCES AND EQUIPMENT NEEDED.
Your answer
SIGNATURE AND DATE- PLEASE WRITE NAME AND DATE SUBMITTED
Your answer
ANY QUESTIONS, PLEASE CONTACT COLIN JARDINE OR RANDY DOUGLAS THROUGH BROCKVILLE BASKETBALL ASSOCIATION
Your answer
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