Coach Application – Basketball Nova Scotia

Email

Phone

Which gender do you identify with?

Agender, Genderqueer, Non-Binary

Man/Male

Two-Spirit

Woman/Female

Prefer not to answer

Prefer to self-describe

Which racial group do you identify with? Please check all that apply.

Black

East/Southeast Asian

Indigenous

Latin

Middle Eastern

South Asian

White

Prefer not to answer

Prefer to self-describe

What is your highest level of NCCP training?

FUNdamentals "In Training"

FUNdamentals "Trained"

Learn to Train (L2T) "In Training"

Learn to Train (L2T) "Trained"

Learn to Train (L2T) "Certified"

Train to Train (T2T) "In Training"

Train to Train (T2T) "Trained"

Train to Train (T2T) "Certified"

Train to Compete (T2C) "In Training"

Train to Compete (T2C) "Certified"

None

Do you have a clear E-PIC Criminal Record Check, valid within the last 2 years?

Yes

No

No (Haven't had to do one)

Do you have a clear Vulnerable Sector Check, valid within the last 2 years?

Yes

No

No (Haven't had to do one)

Do you have a clear Child Abuse Registry Check, valid within the last 2 years?

Yes

No

No (Haven't had to do one)

Which team are you interested in coaching? *Check all that apply

U15 Team Scotia Girls

U16 Team Scotia Development Girls

Would you consider being an Assistant Coach?

Yes

No

Unsure

Depends on the Head Coach

Depends on which team

If you are currently coaching, what team do you coach and what is your role (ie: head coach, assistant coach)?

Do you have anyone in mind to be your assistant coach if you are selected? If so, who?

How many years of experience do you have as a head coach?

What is the highest level of coaching experience you have as a Head Coach?

What is the highest level of basketball you aspire to Head Coach?

Club

High School

Team Scotia National Team (U15/U17)

College

University

National Team

Professional

Preferred Polo Size

Women's S

Women's M

Women's L

Women's XL

Women's 2XL

Men's S

Men's M

Men's L

Men's XL

Men's 2XL