Premier Basketball Club
2017-18 South JeffCo Premier Coaches Application
This application is for AYL, S. JeffCo League and Columbine Gold Crown Coaches.
Full Legal Name
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua & Barbuda
Bosnia & Herzegovina
British Indian Ocean Territory
British Virgin Islands
Central African Republic
Cocos (Keeling) Islands
Congo - Brazzaville
Congo - Kinshasa
French Southern Territories
Heard & McDonald Islands
Hong Kong SAR China
Isle of Man
Macau SAR China
Northern Mariana Islands
Papua New Guinea
São Tomé & Príncipe
South Georgia & South Sandwich Islands
St. Kitts & Nevis
St. Pierre & Miquelon
St. Vincent & Grenadines
Svalbard & Jan Mayen
Trinidad & Tobago
Turks & Caicos Islands
U.S. Outlying Islands
U.S. Virgin Islands
United Arab Emirates
Wallis & Futuna
Cell Phone Number
Home Phone Number
Work Phone Number
Date of Birth
Colorado Drivers License Number
I would like to coach a:
AYL Competitive Boys Team
AYL Competitive Girls Team
JeffCo League Rec/Intermediate Girls Team
JeffCo League Rec/Intermediate Boys Team
Columbine Boys or Girls Gold Crown Team
I am applying as a:
What grade would you like to coach?
If you are applying as an Assistant Coach, Please list the name of the Head Coach of the team you will be coaching with below.
If you know of players that you wish to play on your team, please provide us with their name, email and phone number in the following format:
Player Name, Player Email, Player Phone
Please detail your previous coaching experience.
Please describe your coaching philosophy.
Please list any coaching education or coaching certificates you have completed.
Reference 1 - Name and Phone Number
Reference 2 - Name and Phone Number
Reference 3 - Name and Phone Number
THIS IS NOT THE BACKGROUND CHECK BUT BY SIGNING BELOW YOU AKNOWLEDGE AND ACCEPT THAT YOU WILL BE REQUIRED TO ENTER ALL OF YOUR INFORMATION INTO A THIRD PARTY BACKGROUND CHECK SYSTEM AND WILL NOT BE ALLOWED CONTACT WITH THE KIDS OR ACCESS TO THE ROSTER UNTIL YOU HAVE COMPLETED AND PASSED A BACKGROUND CHECK IN ACCORDANCE WITH THE SOUTH JEFFCO BACKGROUND CHECK POLICY.
By typing your name below (i) certify that, to the best of your knowledge, all of the information on this application is complete and accurate, (ii)authorize the staff and directors of South Jeffco Sports Association (SJSA) to make such inquiries and conduct such background check information as they deem necessary in their sole discretion to verify the accuracy of the information on this application as to your fitness to coach for SJSA, including, but not limited to, conduction background investigations, and (iii) agree to indemnify SJSA and it's directors, officers, employees, and agents from and against all losses, damages, or liabilities resulting from your negligence or intentional acts.
Please type your name below:
NFHS COACHES CODE OF ETHICS
The function of a coach is to educate students through participation in interscholastic competition. An interscholastic program should be designed to enhance academic achievement and should never interfere with opportunities for academic success. Each student-athlete should be treated as though he or she were the coaches own, and his or her welfare should be uppermost at all times. Accordingly, the following guidelines for coaches have been adopted by the NFCA Board of Directors.
The coach shall be aware that he or she has a tremendous influence, for either good or ill, on the education of the student-athlete and, thus, shall never place the value of winning above the value of instilling the highest ideals of character.
The coach shall uphold the honor and dignity of the profession. In all personal contact with student-athletes, officials, athletic directors, school administrators, the state high school athletic association, the media, and the public, the coach shall strive to set an example of the highest ethical and moral conduct.
The coach shall take an active role in the prevention of drug, alcohol and tobacco abuse.
The coach shall avoid the use of alcohol and tobacco products when in contact with players.
The coach shall promote the entire interscholastic program of the school and direct his or her program in harmony with the total school program.
The coach shall master the contest rules and shall teach them to his or her team members. The coach shall not seek an advantage by circumvention of the spirit or letter of the rules.
The coach shall exert his or her influence to enhance sportsmanship by spectators, both directly and by working closely with cheerleaders, pep club sponsors, booster clubs, and administrators.
The coach shall respect and support contest officials. The coach shall not indulge in conduct which would incite players or spectators against the officials. Public criticism of officials or players is unethical.
Before and after contests, coaches for the competing teams should meet and exchange cordial greetings to set the correct tone for the event.
A coach shall not exert pressure on faculty members to give student-athletes special consideration. A coach shall not scout opponents by any means other than those adopted by the league and/or state high school athletic association.
Please type your name below to agree to the NFHS Code of Ethics:
Please attach your concussion course certificate.
Do Not Fill This Out