• 2019 Under 16 State Team Coach Application

    Please complete the form below to apply for a position as a State Team coach for a 2019 Under 16 State Team
  • Personal Details

  • Coach Accreditation Details

  •  -  -
    Pick a Date
  •  -  -
    Pick a Date
  • References

    Please provide details of two references:

  • Reference 1

  • Reference 2

  • State Team Application Details

    Please detail the State Team coaching position/s you wish to apply for.

  • Selection Criteria

    Please upload your resume and ensure that it addresses the selection criteria set out in the Basketball Queensland Coach selection policy.

  • Conflicts of Interest

    Applicants must declare if they have a "Conflict of Interest" with any of the players who are eligible for selection in the age group and gender in which they are making application.

  • Please Note: A coach that is related to a player who is eligible for selection in the age group will not be selected.

  • Blue Card

    You MUST already have a Blue Card issued by the Commission for Children and Young People and Child Guardian signifying that the applicant can work with children under the age of 18.

  • Member Protection Declaration

    I wish to be appointed as a coach in the Basketball Queensland State and Emerging State Team Program and do solemnly declare that:

    1. I have never been charged with any criminal offense relating to narcotics, violence or abuse including sexual abuse.

    2. No person has ever sought or obtained any intervention order, injunction or other restraining order against me alleging dishonesty or verbal or physical abuse (including sexual abuse).

    3. I am not currently the subject of any sanction issued by a basketball association against me which prohibits me from holding a position of the type set out in clause 1 above.

    4. No application submitted on my behalf has been rejected for, nor have I been suspended or dismissed from, a position in sport, volunteer organisation, business, educational or other Government or semi-government organisation where that rejection, suspension or dismissal relates to my conduct with persons aged under eighteen (18) years of age or to violence, drug use or to dishonesty.

    5. There are no other matters, which a reasonable person would consider relevant to the fitness of a person to be a coach of a team of players aged under eighteen or an administrator with frequent contact with persons aged under eighteen.

    6. I also agree to uphold the acceptable standards of behaviour and conduct whilst acting in my role and are fully aware and accept that should any of these standards listed in the code of conduct be breached I will be dismissed from my role within this program and acknowledge that I will also be excluded from all future Basketball Queensland Development Programs at all levels.

    7. I will notify the President or CEO of the organisations appointing me to my position immediately upon becoming aware that any of the matters set out in clauses 2 to 6 above has changed for whatever reason.

    8. I make this declaration that the information contained in it is true and correct and I understand that a person making a false declaration is liable to the penalties of perjury.

  • Conditions of Appointment

    1. I agree to abide by the terms and conditions (including the Coach’s Code of Ethics) contained in the State and Emerging Team Coach Selection Policy and that disciplinary action may be taken if I breach any of the terms and conditions set out in this policy.

    2. I acknowledge that Basketball Queensland may take disciplinary action against me, if I breach the code of ethics. (I understand that Basketball Queensland are required to implement a complaints handling procedure in accordance with the principles of natural justice, in the event of an allegation against me)

    3. I acknowledge that disciplinary action against me may include de-registration from the National Coaching Accreditation Scheme & all other Basketball Queensland Programs.

  • You must be a registered coach with a current accreditation/ license. For further information about how to become registered and/or accredited/licensed, please contact your association.

  • You must be an Australian Resident living in Queensland to be eligible for selection as a Queensland State Team Coach.

  • Should be Empty: