Staff Application Form



First Name (*)

Please type your full name.
Last Name (*)

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Date of Birth (*)

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T-Shirt Size (*)

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Home Address (*)

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City (*)

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State (*)

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Postal Code (*)

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Cell Phone (*)

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Home E-mail (*)

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Name of School (*)

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School Address (*)

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City (*)

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State (*)

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Postal Code (*)

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Work Email (*)

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Coaching Assignment (*)

Please specify your coaching position
Coaching Gender (*)

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Total Number of Years Coaching (*)

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Provide a brief bio of coaching experience (*)

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Repeat Don Eddy Basketball Coach? (*)

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If Yes, then how many years?

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Please indicate your favorite age group to work with (*)

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What is your religious preference? (*)

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What Christian work experience have you performed in the last 3 years? (*)

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Would you be willing to share the gospel with a camper? (*)

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Have you ever been convicted of an offense involving a minor, or endangering the welfare of a child such as child abuse, child neglect, or any offense against a person, such as assault, etc.? (*)

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If Yes, than please explain.

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College/University (college students only)



Major

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Year of Graduation

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Current Age

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