FUN-damental Basketball Camp Inc.

Application For Employment
Please fill out this form on screen, print it, and send it to us. Click here for address.

First Name:		Home Phone:
Last Name:		Work Phone:
Address:		Fax:
Address 2:		Email:
City:		School:
State/Prov:		School City
Zip:		School State:
Age:		Gender	M - F
Position(s) Applying For:	Coach Referee Athletic Trainer EMT (Emergency Medical Tech)	Position(s) Applying For:	RN (Nurse) Life Guard Dorm Director
Coaching Level: (varsity, jv, college, etc.)		Years of Coaching Experience:

Please list experiences and number of years with each position: Please attach information
if you need more room.

Playing experience (high school, college):

Teaching Specialties- Please check all that apply:

Shooting
Ball Handling
Defense (on the ball)
Defense (off the ball)
Passing
Rebounding
Fast Break/Full court Drills

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Coaching References (Please include 2)
Recommended by:

Name:

Position:

Phone#:

Name:

Position:

Phone#:

What gender and age level would you be willing to work with?
Please check any that apply:

Boys Elementary age Middle School Junior High High School	Girls Elementary age Middle School Junior High High School
I'm Interested in the Morrisville, NY Camp	I'm Interested in the Deerfield Beach, FL Camp

For all those that get accepted to work the camp. You will get an additional $10 for each camper you refer that attends the camp. Just have them mention your name on the application form.

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