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Under 18 Representative Coach Application Form
Key Dates
NQJBC Townsville - Oct 6 to 8
NQJBC Mackay - Nov 10 to 12
NQJBC Cairns - Dec 1 to 3
2024 Basketball Queensland State Championships Gold Coast - Jan 10 to 14
Under 18 Junior Representative Trials will be held in July.
Name
*
First Name
Last Name
Blue Card Number
*
Blue Card Expiry
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Interested In (please select from the drop down list your preferences (1-3)
1st Preference
*
Please Select
U18 Meteors Head Coach
U18 Comets Head Coach
U18 Stars Head Coach
Assistant Coach in Boys Program
Under 18 Meteorettes Head Coach
Under 18 Comettes Head Coach
Under 18 Starettes Head Coach
Assistant Coach in Girls Program
2nd Preference
Please Select
U18 Meteors Head Coach
U18 Comets Head Coach
U18 Stars Head Coach
Assistant Coach in Boys Program
Under 18 Meteorettes Head Coach
Under 18 Comettes Head Coach
Under 18 Starettes Head Coach
Assistant Coach in Girls Program
3rd Preference
Please Select
U18 Meteors Head Coach
U18 Comets Head Coach
U18 Stars Head Coach
Assistant Coach in Boys Program
Under 18 Meteorettes Head Coach
Under 18 Comettes Head Coach
Under 18 Starettes Head Coach
Assistant Coach in Girls Program
Basketball Australia Coach Accreditation
*
Community Coach (Level 0)
Club Coach (Level 1)
Association Coach (Level 2)
Performance Coach (Level 3)
Do you have a Conflict of Interest for any positions in which you are applying for?
*
Yes
No
Conflict of Interest
A conflict of interest is defined as a person who has a relationship with a player, which may affect their ability to apply the player selection policy objectively and allocate court time appropriately during NQJBC and State Championships. This could be that the applicant: Is a relative of a player (father, mother, brother, sister etc.) who is eligible for selection in the age group and gender in which the application is being made; or Has a personal relationship (e.g., a personal friend of the family) with a player or players in the age group and gender in which the application is made. If yes, please list any relevant details:
I agree to abide by the Basketball Queensland Coaches Code of Behaviour
*
Yes
No
Please upload your Coaching Resume and/or Relevant Experience
*
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Acknowledgement
I acknowledge the MBI Junior Representative Program Coach Selection Policy and by clicking ‘submit’, agree to all required Conditions of Appointment associated with an MBI Junior Representative Coach position. I understand that a failure to comply with these conditions may lead to termination of a coaching appointment and replacement with a coach prepared to fulfil these requirements.
*
I have read and understood the acknowledgment above
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