Gladiator Basketball Association - (Gladstone, OR)

Coaching Application 2025/26 Season

PLEASE NOTE: Coach applicants that are selected to be the HEAD COACH of a CLASSIC TEAM must complete the following NFHS courses before their first practice. There are 4 different sections within the NFHS Certification Courses that are required:

1) Fundamentals of Coaching
2) Concussion in Sports
3) Heat Illness Prevention
4) Oregon State Component

All 4 of these course sections must be successfully completed online, and coaches must provide a copy of all 4 course certificates to GBA before practices begin. Our Treasurer will issue a reimbursement to coaches for the cost of the courses upon receiving all 4 certificates.

The total cost for all 4 courses is $50 and takes approximately 8 hours to complete (can be done in smaller segments). Please contact GBA if you have any questions.

Courses are available at this website: https://nfhslearn.com/home/coaches

Gladiator Basketball Association

* First Name:

* Last Name:

* Street Address:

* City:

* State:

* Zip Code:

* Home Phone:

* Cell Phone:

* Email:

* Returning Coach:

* Do you have a CURRENT NFHS Certification?:

* Preferred position:

* Requested age / level:

* Shirt Size (adult sizes):

Coaching Experience

(List up to 3 sports)

* Sport #1:

Organization:

Age Group Coached:

How Long:

Sport #2:

Organization:

Age Group Coached:

How Long:

Sport #3:

Organization:

Age Group Coached:

How Long:

Personal Experience / Comments:

Personal References

(Must provide Three Unrelated References)

Reference #1

Name:

Address:

Phone Number:

Relationship:

Reference #2

Name:

Address:

Phone Number:

Relationship:

Reference #3

Name:

Address:

Phone Number:

Relationship:

Consent for Criminal Background Check

In order to protect the children in our care, Gladiator Basketball Association conducts a background check on all coaches and volunteers. Checking the box below and submitting this application authorizes Gladiator Basketball Association and Criminal Information Services to obtain information about you (if applicable) from various law enforcement agencies, courts and correction agencies.

Your full legal name is usually what's listed on your birth certificate.
"Jon Doe" is not your full legal name if your birth certificate says "Jonathan William Doe Jr.".
Enter your FULL LEGAL NAME.

* Full Legal Name:

* Gender:

Other Names Used (maiden, alias', legal name change, etc.):

* Birthdate:

* Social Security Number:

* Driver's License Number:

* Issuing State:

* Have you EVER been convicted of ANY crime? Failure to disclose/explain ANY crime may make you ineligible to coach with GBA:

Yes

If "Yes" explain::

Applicant's affirmation: I have reviewed and completed this form as applicable to me. This authorization shall continue to be effective until revoked by me. A photocopy or facsimile copy of this consent shall be as effective as the original. By checking below and submitting, I affirm that all information on this form is true and accurate.

I give the Gladiator Basketball Association permission to verify the information I have provided. *

* indicates required fields