Part-Time Coach / Jr. Assistant / Referee / Application

Part-Time: Head Coach / Junior Assistant / Referee

Application Form
Westkhoops Programs
Name

First NameLast Name
Please provide your Birthdate:

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please indicate which Program (s) you are most interested in Coaching & Assisting?
Please Select the Part-Time Position you are most interested in Coaching, Reffing, or Assisting:
Please Select grade or age group you are interested in Coaching or Assisting
What is your Highest Level of Basketball Playing Experience:
Please list all ACTIVE Coaching, Refereeing, and/or Youth-Related Certifications:
Please provide your National Coaching Certification Program (NCCP) #:
Please indicate your NCCP Basketball Training Pathway Program/Level:
Please indicate your NCCP Basketball Training Pathway STATUS:
Please list all ACTIVE First Aid Certificates or Certifications:
Please list previous Coaching, Reffing, or Volunteer Experience:
How would you describe yourself as a Youth Sports Coach, Assistant, or Referee? What is your Coaching, Reffing, or Assistant Coach philosophy (winning, having fun, discipline, teamwork, etc...?)
Describe your previous work with Children & Youth Sports Programs? Describe your previous volunteer experience and how it fits with our Youth Sports Program/Camp?
Have you ever been Formally Disciplined from a Youth Sports Program either as a Coach, Parent or Observer?
Explain the discipline, restriction, limitations
Please provide two Coaching, Assistant, Reffing, or Volunteer References:
Please list any children you have who are participating and registered in West K Hoops:
If selected to be a Coach, Assistant, Referee, or Volunteer with Westkhoops, do you agree to a Local Background Check (+18 Only)?
Job Ad - Part-Time Coach, Jr. Assistant, Referee
If selected for a PAID Position, what is your desired Salary?
e.g., $10 - $25 per hour
Terms and Conditions
Should be Empty:

Part-Time: Head Coach / Junior Assistant / Referee

Westkhoops Programs