Contractor Application
Please fill out this form to apply as a contracted coach for TTA. Please fill out information as accurately as possible. Thank you.
First Name (from Birth Certificate)
Last Name
Nickname
Date of Birth
MM
/
DD
/
YYYY
Address
City, State, Zip
Cell Phone
Email
Attach Resume (not required)
Previous Work Experience
Employer
Dates Worked
Type of Work
Supervisor
Wage/Salary
Other Employment
High School
Year Completed
College
Year Completed
Degree
Higher Education
Year Completed
Degree
Are you legally authorized to work in the U.S.?
Yes
No
Are you at least 18 years of age?
Yes
No
Have you ever been convicted of a crime (felony)?
Yes
No
If yes, give details:
Have you ever been accused of misconduct with a minor?
Yes
No
If yes, give details:
Are you presently employed?
Yes
No
May we contact this employer?
Yes
No
If hired, when would you be available?
What are your available hours, please include weekends if available
Name of Reference
Occupation
Relationship
Phone
How long known?
Name of Reference
Occupation
Relationship
Phone
How Long Known?
Name of Reference
Occupation
Relationship
Phone
How Long Known?
Basketball Playing Experience
Basketball Coaching/Teaching Experience
Any other information you would like to share
Check this box to certify that all information is correct and filled out to the best of your knowledge.
*
Yes
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