Wheelcats Team Official Positions EOI

PERSONAL INFORMATION

Please note - you must have a valid Working with Children card or receipt of application for this "expression of interest" to be considered
FIRST NAME
LAST NAME
Contact Number
Email
example@example.com
Association - What is your current association?
Previous association - have you been involved in another association in the last two years? If so please advise which association below.
WWCC number please note: all applicants MUST have a valid working with children card or proof of application to be considered for a position in this program. Failure to have a current WWCC or receipt of application will result in your application being deemed ineligible
Working With Children Card #
WWCC Expiration date.

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WWCC (upload a copy of your WWCC)

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Please attach a copy of your current Working With Children Card Cancelof

COACHING EXPERIENCE AND PHILOSOPHY

Please outline your relevant coaching experience.
Resume (please only include your experience and the skills relevant to the position you are applying for)

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Please attach a copy of your coaching resume addressing the selection criteria as stated in the Coach and Team Official Selection Process. Cancelof
Coach Accreditation Level
Coaching accreditation must be valid and current; proof of accreditation to be submitted upon request.
Please provide a short overview of your coaching style
Please provide a short overview of your offensive philosophy
Please provide a short overview of your defensive philosophy

Position Preference
Preference 1
Preference 2
Are you are open to being considered for roles and teams outside of your nominated preferences

TERMS AND CONDITIONS OF APPLICATION
Conflict of Interest Declaration. A conflict of interest (COI) occurs when a coach’s personal relationships, affiliations, or interest such as with players, clubs, or external programs may compromise, or appear to compromise, their ability to make fair and unbiased decisions when selecting teams or running programs. By completing this form, you agree to disclose any actual or potential conflicts of interest now and to promptly declare any conflicts that arise during the program. Examples of a COI include (but are not limited to); being a paid member of a third-party provider or external academy; or holding a coaching or employment role in a school program.
If you are a paid member of a third party provider or external academy program AND/OR a coach or paid employee of a school program please state below any possible Conflict of Interest.
If you answered Yes to the above question please provide details of the COI below.

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By completing this form, I hereby give permission to Basketball WA to assess my potential as a coach and or team official, and to make appointments accordingly without further engagement.
Completion of this form does not constitute an appointment of any sort.
Signature
Signed by:
Name of signatory
Date of signature

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Should be Empty:

PERSONAL INFORMATION