London Coaches Program

London Coaches Program: Enhancing skills, employability and health through basketball

Forename(s): *

Surname: *

Date of Birth: *

Your Basketball England membership number: *

Are you over 18? *

Yes

House number/name: *

Address line 1: *

Address line 2:

Address line 3:

Address line 4:

Postcode: *

Email: *

Phone number: *

Emergency contact name: *

Their relationship to you: *

Emergency contact number: *

Instagram handle (we will use Instagram to share exclusive content for the program):

Which of the following best describes your sexual orientation? This question is voluntary.

Straight or Heterosexual

Gay or Lesbian

Bisexual

Other sexual orientation

Are you a member of a local basketball club, team or organisation?

Yes

Are you currently in full time education? *

Yes

Employment status: *

Full Time

Part Time

Unemployed

Do you have any basketball coaching experience? (note, experience is not necessary for the program)

Yes

We might need some further information on your suitability for the program. Please provide the name and contact details of someone who can provide a reference/referral: *

I have read and agree to the terms and conditions as stipulated by Basketball England, GLA and the NBA? (A copy is available to view below this form)

I agree to Basketball England, the NBA and/or GLA to contact me with content relevant to the London Coaches Program, as required.

Your signature (typing your name acts as a digital signature): *

Today's date: *

London Coaches Program: Enhancing skills, employability and health through basketball

THE APPLICATION PERIOD FOR THE fourth COHORT IS NOW open.

The London Coaches Program is a new partnership funded by the Mayor of London and the National Basketball Association (NBA) and delivered by Basketball England.

If you're a coach mentor rather than a coach candidate, please email [email protected] to express your interest in becoming a mentor. The form below is for candidates only.

NOTE

When you have completed this form and press the submit button, you will be progressed to a page titled "Thank you for your Information."

If you press the submit button and this doesn't happen, scroll back up through the form again and look for any sections that you may have missed/not answered.

You will not be able to submit this form unless all mandatory fields have been completed.

London Coaches Program - Candidate Information

NOTE

When you have completed this form and press the submit button ABOVE, you will be progressed to a page titled "Thank you for your Information."

If you press the submit button and this doesn't happen, scroll back up through the form again and look for any sections that you may have missed/not answered.

You will not be able to submit this form unless all mandatory fields have been completed.

View the Terms and Conditions

Coaching Qualifications