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Name (*)

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Street Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Home Phone (*)

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Work/Cell Phone (*)

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Email Address (*)

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Grade level applying for: (*)

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Have you coached or assisted in youth athletics before? If so, what, when and at what age level? (*)

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What are your goals, objectives and philosophies for coaching youth basketball? (*)

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What are your philosophies for handling conflict and discipline within your team? (*)

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In your own opinion, what makes you the best coach for this team? (*)

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Verification

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