Coach - Application

Fill in the following form and click submit to apply to be a coach with Atoms, and the committee will respond asap.

IMPORTANT: You must provide a response to every question.

First Name:
Surname:
Date of Birth: (Must be written YYYY-MM-DD, e.g 1985-04-30)

Street Address:
Suburb:
Postcode:
Mobile Phone: (no spaces)
Email: (no spaces)

Working With Children Cards can be applied for at the Post Office. The number on the top right corner of the form can be supplied below after application for WWC is made. If you are under 18 then a WWC is not required, just put 'Under 18' for the WWC number and the date you turn 18 for the expiry. If you have not yet applied just put "pending".
WWC Number/'Under 18':
WWC Expiry Date, or Date you turn 18: (Must be written YYYY-MM-DD, e.g 2015-04-30)
Under 18 Parent Email: If you are under 18 this is required, unless it is the same as your email

Position Applying For:		Coach Assistant Coach
Coaching Experience:
Coaching Certificate:
Team You Would Like To Coach: (if known)
Preferred Gender:
Preferred Age Group:

I hereby apply for a position with the Atoms Basketball Club and agree to comply with the Club's policies practices and procedures. By clicking the SUBMIT button, you agree that all information provided on this form is true and accurate.