Hectorville Basketball Club 2024/5 COACH interview

Your Name(Required)
MM slash DD slash YYYY
Do you have a Working with Children Clearance within the last 5 years?(Required)
Have you completed Play by the Rules Harassment and descrimination certificate? If yes, please email the certificate to [email protected].(Required)
Have you ever had any disciplinary action taken against you in relation to you working with children?(Required)

Referees

Please provide 2 references able to provide information relating to your suitability to work with children, the referees should have known the applicant for 12 months or more, not be related and be able to vouch for the applicants reputation and character. Please provide phone and email addresses.

Referee One Name(Required)
Referee Two Name(Required)