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basketball
Welcome
To apply to Team Manage in the 2022 SA Country High Performance Program, please fill out this application form. If you have any concerns please contact Jamie Petty on 0417 836 019 or highperformance@sacbci.com.au
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1
Name
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First Name
Last Name
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2
Phone Number
*
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Type (Mobile/Office etc)
Phone Number
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3
Email
*
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example@example.com
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4
Do you have a current DCSI Clearance or Working With Children Check?
DCSI
WWC
No current clearance
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5
What is the reference/record number and date of issue for your WWC/DCSI?
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6
Which position are you applying for
*
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Any Male State Team
Any Female State Team
Any Male EADP/Development Team/SCC/Country Cup (U14, 15, 16, 18)
Any Female EADP/Development Team/SCC/Country Cup (U14, 15, 16, 18)
Any Male Team
Any Female Team
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7
Are there any teams that you would be UNAVAILABLE to Team Manage
Any State Team
Any Male Team
Any Female Team
Any Under 14 Team
Any Under 15/16 Team
Any Under 18 Team
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8
Please provide a brief summary of your relevant Team Managing experience
*
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9
Please provide any other information that may be relevant/support your application
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10
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