2021 State Team HEAD Coach Application (only)

2021 QLD State Team U16

Men's North HEAD Coach Application

A vacancy exists with the Queensland Under 16 Men's North State Team Head Coach position. To express your interest please complete this form fully. Please note that this application is for the Head Coach position only, and not for an assistant coach role.
State Team HEAD COACH Application Closing dates

Under 16 Men's North head coach position will close on Monday, 11 January 2021.

Championship Dates
Final Championship dates & venues:

Under 16* National Championships - 4th -11th JUL- Perth WA

* Coaches applying for this position should note that the Under 16 National Championships overlaps and occurs at the same time as NBL1 North, QSL and State U14 & U12 Championships.

It is extremely difficult to hold down a state team head coach position and an association head coach position without conflict during this time period.

* All U16 applicants are expected to make the state team the primary focus and fulfill all preparation time commitments.

Personal Details
Full Name *

First Name Middle Name Last Name
Phone Number *
Email Address *
Address *

Street Address

Street Address Line 2

City/Suburb State

Postcode
Basketball Queensland Coach registration number

Please note:

To coach basketball in Queensland you must be registered with Basketball Queensland.

As head coach of a QLD state team you must also hold a minimum of Association Coach accrediation.
Coach Accreditation Details
Current Coach Accreditation Level *
Date of accreditation
Accreditation Renewal Date
Association and age group or level (e.g. NBL1 etc) you are currently coaching *
Please list any other programs or teams you are currently coaching as a head or assistant coach relevant to the state team head coach age group for which you have applied.

Please summarise your past HEAD COACHING experience at the level or above for which you have applied , in terms of yearsexperience, teams & programs and success or outcomes.
What are your key personal & coaching attributes that you believe make you a most suitable candidate for this head coach position?

References

Please provide details of two references:
Reference 1
Full Name *

First Name Last Name
Position
Phone Number *
Reference 2
Full Name *

First Name Last Name
Position
Phone Number *

Head Coach requirements:
1. Available for trials & SPP coaching -approximately 14 hours or one camp
2. Available for preparation training at multiple camps or on a regular weekly basis of approximately 45 hours over a 10 week period
3. Work collaboratively with State Performance Manager (SPM) & BQ staff.
4. Take directives and recommendations from the BQ General Manager - Game Development
State Team Application Details

Please note the time requirements and your availability for the respective State team program and then please detail the State Team HEAD coaching position/s you wish to apply for.
Please read and refer to the head coach position description and SPP athlete selection policy on the BQ website under policies: queensland.basketball/FormsandPolicies

It will be assumed that you have read this and it will form part of any questioning at an Interview if offered.
Which Head Coach role & Team do you wish to apply for? *

Under 16 MEN NORTH
Selection Criteria

Please upload your up to date resume

IMPORTANT - please READ & ensure that you address the selection criteria set out in the Basketball Queensland Coach selection policy in your covering letter to your resume.

NB Failure to do so may eliminate you from the interview process.
Upload Resume *

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.
Are you related to a player eligible for selection in the age group and gender in which the application is being made? *

Yes No
Please Note: A coach that is related to a player who is eligible for selection in the age group will not be selected.
Do you have a personal relationship (e.g. a personal friend of the family) with a player or players in the age group and gender in which the application is made? *

Yes No
Do you coach or plan to coach a representative team in the age group and gender in which the application is made? *

Yes No
If you have answered "Yes" to any of the conflict of interest questions please indicate how you would manage the conflict?

Blue Card

You MUST 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.
Blue Card Number *
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 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.
*

I agree

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.
*

I agree and acknowledge
Should be Empty:

Championship Dates

Blue Card