Shaun Brown's Cricket Coaching

Coaching Application Form

Thank you for your interest in coaching at our clinics. Please note, you must be 17 years old or older to apply.

Please complete your details below. Once we have received your application, we will contact you.

* Mandatory field

* Title:
* First Name:
* Last Name:
* Age: (Coaches must be 17 years old or older)
  Guardian Name:
  (If under 18 yo):
  Guardian Address:
* Address:
* City/Suburb:
* State:
* Postcode:
* Phone 1:
   Phone 2:
   Phone 3:
* Email Address:  
  

* Which camp/s would you like to coach at:



Super Camps

Dec 21,22,23 - Xavier College (Melbourne)
Dec 21,22,23 - Yarra Valley Grammar School (Melbourne)
Dec 21,22,23 - Sutherland Shire (Sydney)
Dec 21,22,23 - West Sydney
Jan 18,19,20 - Brighton (Melbourne)

NSW Camps

Jan 18,19 - Wagga Wagga
Jan 14,15 - Maitland
Jan 14,15 - Port Macquarie
Jan 14,15 - Newcastle
Jan 14,15 - Coffs Harbour
Jan 14,15 - Wollongong
Jan 21,22 - Albury/Wodonga
Jan 18,19 - Jerilderie
Jan 14,15 - Nowra

Clever Cricket Camps

Jan 25,26,27 - Taylors Lakes
Jan 25,26,27 - Hawthorn

Country Victoria Camps

Jan 11,12 - Swan Hill
Jan 26,27 - Horsham
Jan 11,12 - Hamilton
Jan 25,26 - Mildura
Jan 26,27 - Warrnambool
Jan 21,22 - Albury/Wodonga
Jan 21,22 - Wangaratta
Jan 19,20 - Geelong
Jan 21,22 - Bairnsdale
Jan 21,22 - Traralgon
Jan 21,22 - Ballarat
Jan 21,22 - Bendigo
Jan 21,22 - Echuca
Jan 21,22 - Shepparton

Melbourne Satellite Camps

Jan 19,20 - Frankston
Jan 19,20 - Casey
Jan 19,20 - Diamond Valley
Jan 19,20 - Hoppers Crossing

Additional Information:


* What coaching qualifications do you currently have?
Level 1
Level 2
Level 3
None
Do you have any preferences to where or how you coach?
* Do you have a car?
YES - Willing to drive
YES - Prefer not to drive
NO - I do not have car
* Have you played 1st XI Premier cricket?
NO
YES
* Do you have a "Working With Children" card?
NO
YES
Do you have a "Facebook" site?
NO
YES
If you do have a Facebook site, what is the address?

Bank Account Details for payment

Bank

Account Name

BSB

Account Number


I will send my bank account details by FAX or POST.

Please click here and download our BANK ACCOUNT form, which you can PRINT, COMPLETE and FAX or POST to us.

* Child Protection Policy

Shaun Brown's Cricket Coaching has a duty of care to its clients and to the general public who interact with its employees, volunteers, members and others involved with Shaun Brown's Cricket Coaching activities. As part of this duty of care and as a requirement of Shaun Brown's Cricket Coaching's Member Protection Policy, Shaun Brown's Cricket Coaching must enquire into the background of those applying for, undertaking or remaining in any work (paid or voluntary) that involves working with people under the age of 18 years.

Sincerely declare:

1. I do not have any criminal charge pending before the courts.
2. I do not have any criminal convictions or findings of guilt for sexual offences, offences related to children or acts of violence.
3. I have not had any disciplinary proceedings brought against me by an employer, sporting organisation or similar body involving child abuse, sexual misconduct or harassment, acts of violence, intimidation or other forms of harassment
4. To my knowledge there is no other matter that Shaun Brown's Cricket Coaching may consider to constitute a risk to its members, employees, volunteers, athletes or reputation by engaging me.
5. I will notify the CEO of the organisation(s) engaging me immediately upon becoming aware that any of the matters set out in clauses above has changed for whatever reason.
6. I give permission for Shaun Brown's Cricket Coaching to conduct an Australia-wide police check through Victoria Police.

Parent/Guardian Consent (in respect of person under the age of 18 years)
I have read and understood the declaration provided by my child. I confirm and warrant that the contents of the declaration provided by my child are true and correct in every particular.

I agree to Shaun Brown's Cricket Coaching Child Protection Policy.
My parent/guardian agrees to Shaun Brown's Cricket Coaching Child Protection Policy.

* Statement by a supplier

Reason for not quoting an Australian Business Number (ABN) to an enterprise.

Name of supplier

Address of supplier

Under the Pay As You Go legislation and guidelines produced by the Australian Taxation Office I provide you with a written statement that, for the supply I am making and further supplies of this type that I make to you:

The supply is made to you in my capacity as an individual, and the supply is made in the course of an activity that is a private recreational pursuit or hobby
The supply is made to you in my capacity as an individual, and the supply is wholly of a private or domestic nature for me.
I (or the supplier that I represent) am/is a non-resident who is not carrying on an enterprise in Australia
The whole of the payment that I (or the supplier that I represent) will receive for the supply is exempt from income tax
I (or the partnership that I represent) have no reasonable expectation of profit or gain from the activity undertaken and consider that I (or the partnership that I represent) do not meet the definition of enterprise for tax purposes

Therefore, I am not quoting you an ABN. You should not withhold an amount from the payment you make to me for the supply. I agree to advise you in writing if circumstances change to the extent that this statement becomes invalid.

I agree to Shaun Brown's Cricket Coaching Statement by a supplier.

* Letter of Understanding

Once the clinics commence, the coordinator and coaches are the front line of Shaun Brown's Cricket Coaching. Consequently the following points stipulate what is expected as appropriate responsibilities and behavior for the coaching staff to adhere to ensure the clinics are operated well and prove to be beneficial to the children involved.

(i) Arrive to each day of the clinic on time, prepared for the week ahead and in a physical and mental condition commensurate with the expected functions of a coach;

(ii) Provide the ultimate duty of care for children attending the clinic. This requires coaches ensure children wear protective cricket gear, are aware of the dangers when playing in the nets, wearing sunscreen and generally behaving sensibly so as not to endanger other clinic participants;

(iii) Coaches should wear the appropriate uniform - being a Shaun Brown's Cricket Coaching cap and shirt to each day of the clinic, as well as runners, NO THONGS OR SANDALS;

(iv) Each coach will write reports for a specific number of participants nominated by the clinic coordinator;

(v) Should any coach not be able to attend a clinic, they MUST call Shaun Brown's Cricket Coaching 7 DAYS PROIR to the clinic which they are unable to be present;

**Refer to the coach's handbook for penalties for non attendance or poor behavior.

I agree to Shaun Brown's Cricket Coaching Letter of Understanding.





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