EOI for Junior Representative Coaching 2025
submissions close September 23rd 2024
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Are you a returning Norths coach from 2024
*
Yes (Head Coach)
Yes (Assistant Coach)
No
If yes, what team did you coach
12 Boys Black
12 Boys Red
12 Boys White
12 Girls Black
12 Girls Red
12 Girls White
14 Boys Black
14 Boys Red
14 Boys White
14 Girls Black
14 Girls Red
14 Girls White
16 Boys Black
16 Boys Red
16 Boys White
16 Girls Black
16 Girls Red
16 Girls White
18 Boys Black
18 Boys Red
18 Girls Black
18 Girls Red
If yes, what other coaching experience do you have?
If no, what prior coaching experience do you have? (include what basketball association you have come from)
What position would you like to apply for?
*
Head Coach
Assistant Coach
Either Position
Current Coaching Accreditation
*
Club Coach (Level 1)
Association Coach (Level 2)
Master/Performance Coach (Level 3)
No current coaching accreditation
Team Preference #1
*
12 Boys Black
12 Boys Red
12 Boys White
12 Girls Black
12 Girls Red
12 Girls White
14 Boys Black
14 Boys Red
14 Boys White
14 Girls Black
14 Girls Red
14 Girls White
16 Boys Black
16 Boys Red
16 Boys White
16 Girls Black
16 Girls Red
16 Girls White
18 Boys Black
18 Boys Red
18 Girls Black
18 Girls Red
Additional Notes. (HC or AC)
Team Preference #2
12 Boys Black
12 Boys Red
12 Boys White
12 Girls Black
12 Girls Red
12 Girls White
14 Boys Black
14 Boys Red
14 Boys White
14 Girls Black
14 Girls Red
14 Girls White
16 Boys Black
16 Boys Red
16 Boys White
16 Girls Black
16 Girls Red
16 Girls White
18 Boys Black
18 Boys Red
18 Girls Black
18 Girls Red
Additional Notes (HC or AC)
Team Preference #3
12 Boys Black
12 Boys Red
12 Boys White
12 Girls Black
12 Girls Red
12 Girls White
14 Boys Black
14 Boys Red
14 Boys White
14 Girls Black
14 Girls Red
14 Girls White
16 Boys Black
16 Boys Red
16 Boys White
16 Girls Black
16 Girls Red
16 Girls White
18 Boys Black
18 Boys Red
18 Girls Black
18 Girls Red
Additional notes (HC or AC)
Working With Children's Check Number
Date of Birth (NEEDED FOR WWCC)
*
.
Day
.
Month
Year
Date
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