Sign up with MSI (2015)(near complete)

Melbourne Sports Institute

Candidate No.
Contact Date

WELCOME TO MSI

MELBOURNE SPORTS INSTITUTE - APPLICATION FORM

Welcome to the Melbourne Sports Institute. Please complete this electronic application form from start to finish. Please make sure you complete all MANDATORY fields highlighted in RED.

If there are any details you did not provide with you today, please make sure you email it to coach@msisport.com.au at a later time.

If there are any qualifications you do not currently hold, please apply for any outstanding qualifications by tapping on the provided links within the application form.

1) MSI Staff Agreement

AGREEMENT FORM

WHEN YOU ACCEPT A COACHING POSITION OR UMPIRING SESSION WITH THE MELBOURNE SPORTS INSTITUTE YOU CANNOT CANCEL A TRAINING, MATCH OR UMPIRING SESSION ON THE MORNING OF THIS SESSION If you take on a fixture and withdraw on the morning of your session without a medical certificate, you will be charged the set pay rate amount of that fixture. This is a specifice requirement of your code of conduct. If you feel that you cannot follow this basic procedure, please do not accept a coaching and/or umpiring position with the Melbourne Sports Institute. To verify that you have read and understood the contents: PLEASE SELECT 'SIGN' TO WRITE YOUR SIGNATURE AND SELECT 'SAVE'. PLEASE ENTER YOUR FULL NAME IN THE FIELD BELOW. (COACHES AND UMPIRES MUST SIGN)

2) Contact Details

Contact Details

First Name
Last Name
Preferred Name
Date of Birth
Gender
Form of Transport
- Car
- Public Transport
- Bicycle
Mobile Phone Number
Add another phone number
Phone Number (2)
Home Phone Number
Work Phone Number
Email Address
Add another Email Address
Email Address (2)

Address Details

Residential Address
Suburb
Postcode
Residential Address (2)
Residential Address (2)
Suburb
Postcode

Additional Details

Current Employment
University and Course name (current and/or completed)
Ex-Student (if applicable) Please select the secondary school you attended
- St Michael's Grammar
- Overnewton
- Camberwell Grammar
- Trinity Grammar
- PEGS
- Ivanhoe Grammar
- Marcellin College
- Mentone Grammar
- Haileybury
- Xavier College
- Xavier College - Kostka Hall
- Ivanhoe Girls Grammar
- Melbourne Girls Grammar
- Loreto Mandeville Hall
- St Catherine's
- Alphington Grammar
- Kingswood College
- Mount Scopus
- Emmaus College
- Edinburgh College
- Emmanuel College
- CRC St Albans
- St Michael's Junior School
- Christ Church Grammar
- South Yarra Primary
- Middle Park Primary
- Elsternwick Primary
- Other
Sport Lived Coach (if applicable) Please select if you are from Sport Lived

Availability

Please indicate the hours you are available during the week.
School sessions range between 7am-6pm during weekdays, and Saturday matches 6am-1pm.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Date availabilities were loaded on (Office use only)

Availability during the year

Please indicate the date you are available from and the date you are available until, ie. leaving Melbourne.
Available from (If you are available for am immediate start, please select 'Today').
Available until (If your availability is ongoing, please leave field 'blank')
Please indicate the dates you are unavailable during the year, ie. uni exam periods, uni placement dates, holiday trips, etc.
Add Unavailabilities
Date
Date until (optional)
Reason

Area of Availability

Please indicate the regions that you are available to coach or umpire
Select regions
- West
- North
- East
- South East
- South

3) Sports Playing Experience

Sport Resume

Upload a photo of your current Sport resume (by using the iPad camera). (Sport resumes accepted only)

Playing Experience

Please add a list of sports and a description of teams played for each
Add Playing Experience
Select Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Please indicate: club/school, age group, competition level, competitions won, etc.

3) Sports Coaching Experience

Please indicate if you are signing up as a:
Coach

Coaching Experience

Please add a list of sports and a description of teams coached for each
Add Coaching Experience
Select Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Please indicate: club/school, age group, competition level, competitions won, etc.

Coaching Accreditation

Add Coaching Accreditation
Select Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Accreditation Level
- Level 1
- Level 2
- Level 3
- Level 4
- Cert 1
- Cert 2
- Cert 3
- Cert 4
Qualification description
Date Completed

3) Sports Umpiring Experience

Please indicate if you are signing up as a:
Umpire/Referee

Umpire/Referee Experience

Please add a list of sports umpired/refereed and a description of competition level for each
Add Umpire/Referee Experience
Select Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Please indicate: club/school, age group, competition level, name of competitions/tournaments

Umpire/Referee Accreditation

Add Umpire/Referee Accreditation
Select Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Accreditation Level
- Level 1
- Level 2
- Level 3
- Level 4
- Cert 1
- Cert 2
- Cert 3
- Cert 4
Qualification description
Date Completed

4) Qualifications

Working with Children Check

Do you hold a current Victorian Working with Children Check qualification. Yes or No
WWC Number
Employee/Volunteer Card
A Victorian Working with Children Check Employee Card is required for all coaching staff in Victorian Schools.
If you hold a Working with Children Check Volunteer Card, please renew it to a Employee Card online straight away by tapping on 'Visit Link' (online application only lasts 10 minutes):
http://www.workingwithchildren.vic.gov.au/home/cardholders/renew+your+check/
WWC Date expired (valid for 5 years)
Upload a photo of WWC Card or Document (by using the iPad camera)
WWC Card Document Received
If you do NOT hold a current Victorian Working with Children Check qualification, please tap on 'Visit Link' to apply (online application only lasts 5 minutes):

A Victorian Working with Children Check Employee Card is required for all coaching staff in Victorian Schools (valid for 5 years).
A Volunteer Card is a minimum requirement for all umpiring staff in Victorian Schools.
https://online.justice.vic.gov.au/wwccu/onlineapplication.doj
Application Status
- Have not applied
- Applied online
- Completed application at Australia Post
WWC Receipt Number

VIT Registration Number

VIT Registration Number (Only applicable to registered primary or secondary school teachers. A VIT Registration holder is exempt from the Working with Children Check).
VIT Date expired

First Aid Qualification

Do you hold a current First Aid qualification. Yes or No
Date expired (First Aid valid for 3 years)
Upload a photo of your current First Aid certificate (by using the iPad camera)
If you do NOT hold a current First Aid qualification, please apply for the First Aid, CPR and Anaphylaxis combined course:
'HLTAID004 Provide an emergency first aid response in an education and care setting' by tapping on 'Visit Link'.
A current First Aid, CPR and Anaphylaxis qualification is required for all coaching staff in Victorian Schools (First Aid valid for 3 years).
http://www.cprfirstaid.com.au/courses/provide-an-emergency-first-aid-response-in-an-education-and-care-setting.aspx
Application Status
- Have not applied
- Expired
- Booked a course
Course date booked on

CPR Qualification

Do you hold a current CPR qualification. Yes or No
Date expired (CPR valid for 1 year)
Upload a photo of your current CPR certificate (by using the iPad camera)
If you do NOT hold a current CPR qualification, please apply for a 'Provide CPR' course by tapping on 'Visit Link'.
A current First Aid, CPR and Anaphylaxis qualification is required for all coaching staff in Victorian Schools (CPR valid for 1 year).
http://www.cprfirstaid.com.au/courses/provide-cpr/regular-cpr.aspx
Application Status
- Have not applied
- Expired
- Booked a course
Course date booked on

Anaphylaxis Qualification

Do you hold a current Anaphylaxis qualification. Yes or No
Date expired (Anaphylaxis valid for 3 years)
Upload a photo of your current Anaphylaxis certificate (by using the iPad camera)
If you do NOT hold a current Anaphylaxis qualification, please apply for the course:
'First Aid Management of Anaphylaxis' by tapping on 'Visit Link'.
A current First Aid, CPR and Anaphylaxis qualification is required for all coaching staff in Victorian Schools (Anaphylaxis valid for 3 years).
http://www.cprfirstaid.com.au/courses/anaphylaxis-asthma-combined.aspx
Application Status
- Have not applied
- Expired
- Booked a course
Course date booked on

5) Account Details

Bank Account Details

Please provide the details below of your preferred bank account for payment transfers.
Name of Bank
BSB Code/Branch Number (6 digits only)
Account Number
Name of Account Holder

Tax Details

(Please complete Section A of the Tax File Number Declaration Form provided).
TFN Declaration Form Status (Office use only)
- Attached
- Dettached
- Section B Signed
- Neville Signed
- Sent to ATO
Do you currently hold an Australian Tax File Number. Yes or No
Tax File Number (9 digits only)
Application Status

Tax Free-Threshold Details

The tax-free threshold is the amount of income you can earn each financial year that is not taxed. By claiming the threshold, you reduce the amount of tax that is withheld from your pay during the year.

Please tap on 'Visit Link' to view the current tax-free threshold.
http://www.ato.gov.au/General/Tax-terms/In-detail/Employment,-income---tax-returns/What-is-the-tax-free-threshold-/
Do you want to claim the Tax-Free Threshold?<br>(Please ensure you have also answered this on Question 8 of the TFN Declaration).
If you want to claim the tax-free threshold, you must be an Australian resident for tax purposes and one of the following applies:
- You are not currently claiming the tax-free threshold from another payer
- You are currently claiming the tax-free threshold from another payer and your total income from all sources will be less than the tax-free threshold.
Please answer 'No' if one of the following applies:
- You answered 'No' at Question 7 of the TFN Declaration
- You are currently claiming the tax-free threshold from another payer and your total income from all sources will be more than the tax-free threshold
- You do not want to claim the tax-free threshold.

Statement by Supplier

Statement by Supplier Form Completed and Signed. (Please complete the Statement by Supplier Form provided if you are signing up for umpiring/refereeing).

ABN

ABN - Australian Business Number (if applicable)

6) References

References

Please provide contact details of one (or more) professional references regarding sports coaching experience, umpiring experience or playing experience. (No family members of friends will be accepted).

If you do not have any contacts who could be used for a reference check, please provide a written reference. (It is essential that an email address is provided as reference checks may be conducted via email).
Add Professional Referee
Reference Full Name
Reference Contact Number
Reference Email Address
Company
Position

7) Coach Code of Conduct

COACH CODE OF CONDUCT - AGREEMENT FORM

To: Melbourne Sports Institute
I (Full name)
of (Address)
I agree to abide by the Melbourne Sports Institute Coach Code of Conduct. I agree to either provide a valid Working With Children Check Employee Card number or obtain a Working With Children Check before commencing with the Melbourne Sports Institute. I agree to either provide a valid First Aid, CPR and Anaphylaxis (Epipen) training qualification or obtain a First Aid, CPR and Anaphylaxis (Epipen) qualification before commencing with the Melbourne Sports Institute. I have read and understood the Policies and Procedures outlined in the Melbourne Sports Institute Induction Pack. I understand that once I have taken on a coaching position with a school that I am obligated to attend every scheduled training and match session. I agree that the Melbourne Sports Institute may take disciplinary action against me if I breach the code of conduct. Alleged breaches of the code of conduct will be fully investigated by the Melbourne Sports Institute and serious breaches, if proven, may lead to the termination of my coaching appointment. PLEASE SELECT 'SIGN' TO WRITE YOUR SIGNATURE AND SELECT 'SAVE'. PLEASE ENTER YOUR FULL NAME IN THE FIELD BELOW. (ONLY COACHES MUST SIGN)

7) Coach Commitment Contract

COACH COMMITMENT CONTRACT - AGREEMENT FORM

The Melbourne Sports Institute provide regular casual employment to students, athletes and coaches who wish to share their expertise and skills with school students through school association sports programs. Employee Duties The duties of the Melbourne Sports Institute Coach include: - Not cancelling a training or match session on the morning of the session on any ocassion. - Fulfilling the aims and objectives of the school/s in which you are employed. - Demonstrate the appropriate duty of care for all students under supervision as dictated by the school at all times. - Full completion of all coaching (training and match) sessions throughout the term/s as agreed to at the inception of your employment at Melbourne Sports Institute and as required by the school/s for which you are working. If you withdraw from the season without medical certification of your inability to continue, once you have been allocated and have committed to this allocation, you will incur a $400 administration charge (liquidated damages). - Notification prior to the Melbourne Sports Institute contract agreement of any planned or possible absences through the term. - Reasonable judgement on your ability to attend all coaching (training and match) sessions at the assigned time, taking into consideration your other commitments, various traffic conditions you are likely to encounter and public transport delays and cancellations if relevant. - Completion of all Melbourne Sports Institute and school administration tasks and when they are requested. The Melbourne Sports Institute also provides performance management procedures to assist coaches in evaluating their performance levels. These include Coach Audit reports which are completed by the Head of Sport and/or school staff during the term. These reports are designed to assess a coaches' standards regarding their: overall performance, professionalism, punctuality, coaching techniques, communication, administration, organisation and ability to adapt appropriately to the school community. All reports are reviewed by the Melbourne Sports Institute for evaluation where both coach strengths and weaknesses will be highlighted. If you understand the requirements of Melbourne Sports Institute casual staff as listed above and are able to commit to a full period of coaching (generally a minimum of one school term): PLEASE SELECT 'SIGN' TO WRITE YOUR SIGNATURE AND SELECT 'SAVE'. PLEASE ENTER YOUR FULL NAME IN THE FIELD BELOW. (ONLY COACHES MUST SIGN) This is a binding document and you are obligated to honour this agreement that you are making for the duration of your contract.

7) Guarantee of Adherance to Agreements

GUARANTEE OF ADHERENCE TO CODE OF CONDUCT AND CASUAL EMPLOYEE COMMITMENT CONTRACTS

The coaching and umpiring positions offered at the Melbourne Sports Institute are casual positions. These casual positions however do involve a contract set number of weeks within the school term. You must ensure that you can commit for the duration of the contract, and term, before you agree to take on any casual coaching position with the Melbourne Sports Institute. Our client schools expect the Melbourne Sports Institute to provide coaching staff that not only have the skills and experience to enhance their sport programs, but professional coaching staff that are well presented and committed to the team/s they have been allocated and will provide continuity throughout the season. If you are unable to fulfil the conditions set out in the Coach Code of Conduct with regard to your behaviour, presentation and commitment to attend every session for the entire school term then do not sign this document unless specific amendments are made. I have read the Coach Code of Conduct, understand the nature of a casual coaching position for the Melbourne Sports Institute and agree to the commitments entailed. PLEASE SELECT 'SIGN' TO WRITE YOUR SIGNATURE AND SELECT 'SAVE'. PLEASE ENTER YOUR FULL NAME IN THE FIELD BELOW. (ONLY COACHES MUST SIGN)

8) Questionnaire

QUESTIONNAIRE

Please answer each question in one sentence
Q1. In one sentence, please describe your passion for sport?
Q2. In one sentence, please describe your professionalism.
Q3. In one sentence, please describe how you are reliable?
Q4. In one sentence, please describe your dedication to sport?
Q5. Where did you hear about us?

9) Contact Verification

Contact Verification

Please resubmit the following contact details to verify that your information has been entered correctly. Thank you
First Name
Last Name
Mobile Phone Number
Email Address

10) APPLICATION COMPLETE

APPLICATION COMPLETE

Thank you for signing up with the Melbourne Sports Institute. Please stay tuned for any emails of the latest coaching and/or umpiring positions available this season.

(Office use only) Candidate Rating

Presentation

First impression
Well dressed/presented
Punctuality. Were they on time

Communication

Can they speak fluent English? Can you understand them
Do they listen

Attitude

Are they genuinely interested
Do they seem responsible
Are they mature enough

Overall Assessment

Risk assessment. Where 1 is safe and 10 is very risky.
Coach Ability Rating
Umpire Ability Rating
Overall Rating

MSI Staff

Interviewed by

(Office use Only) Incidents and Comments

Incident Report

Add Incident
Date
School
- St Michael's Grammar
- Overnewton
- Camberwell Grammar
- Trinity Grammar
- PEGS
- Ivanhoe Grammar
- Marcellin College
- Mentone Grammar
- Haileybury
- Xavier College
- Xavier College - Kostka Hall
- Ivanhoe Girls Grammar
- Melbourne Girls Grammar
- Loreto Mandeville Hall
- St Catherine's
- Alphington Grammar
- Kingswood College
- Mount Scopus
- Emmaus College
- Edinburgh College
- Emmanuel College
- CRC St Albans
- St Michael's Junior School
- Christ Church Grammar
- South Yarra Primary
- Middle Park Primary
- Elsternwick Primary
- Other
Type of incident
Incident Comments
Upload a copy of Medical Certificate

Feedback Report

Add Feedback
Date
School
- St Michael's Grammar
- Overnewton
- Camberwell Grammar
- Trinity Grammar
- PEGS
- Ivanhoe Grammar
- Marcellin College
- Mentone Grammar
- Haileybury
- Xavier College
- Xavier College - Kostka Hall
- Ivanhoe Girls Grammar
- Melbourne Girls Grammar
- Loreto Mandeville Hall
- St Catherine's
- Alphington Grammar
- Kingswood College
- Mount Scopus
- Emmaus College
- Edinburgh College
- Emmanuel College
- CRC St Albans
- St Michael's Junior School
- Christ Church Grammar
- South Yarra Primary
- Middle Park Primary
- Elsternwick Primary
- Other
Feedback Comments

Comments

Add Comment
Date
Comments

Unsubscribe

Active/Inactive
Unsubscribe Date

(Office use only) Coach Allocation History

Coach Allocation History

Add Coach Allocation
School
- St Michael's Grammar
- Overnewton
- Camberwell Grammar
- Trinity Grammar
- PEGS
- Ivanhoe Grammar
- Marcellin College
- Mentone Grammar
- Haileybury
- Xavier College
- Xavier College - Kostka Hall
- Ivanhoe Girls Grammar
- Melbourne Girls Grammar
- Loreto Mandeville Hall
- St Catherine's
- Alphington Grammar
- Kingswood College
- Mount Scopus
- Emmaus College
- Edinburgh College
- Emmanuel College
- CRC St Albans
- St Michael's Junior School
- Christ Church Grammar
- South Yarra Primary
- Middle Park Primary
- Elsternwick Primary
- Other
Sport
- AFL
- Hockey
- Netball
- Soccer
- Futsal
- Basketball
- Badminton
- Cricket
- Softball/Baseball
- Tennis
- Table Tennis
- Touch Rugby
- Rugby
- Volleyball
- Beach Volleyball
- Athletics (Track or Field)
- Cross Country/Running
- Personal Training/Fitness
- Outdoor Education
- Handball
- Lacrosse
- Squash
- Cycling
- Diving
- Kayaking
- Rowing
- Sailing
- Swimming
- Water Polo
- Aerobics
- Cheerleading
- Dance
- Gymnastics
- Golf
- Bowling
- Dodgeball
- Ultimate Frisbee
- Fencing
- Martial Arts
- Winter Sports
Date started
Date finished
Reason for termination

Pay rate

Pay rate ($ per hour)
Pay rate (Date set)
Authorised by

MSI Uniform

Type of item
- $30 Adidas Men's Coach Polo Black
- $25 Adidas Women's Coach Polo Black
- $31 Adidas Umpire Shirt
- $25 Adidas Umpire Shorts
- $55 Adidas Coach Tracksuit Black
- $30 Buffalo Sports Coach Jacket Navy
Umpire Shirt Colour (if applicable)
Size
- XS
- Small
- Medium
- Large
- XL
- XXL
- XXXL
Price
Payment procedure
Authorised by
Item Collected on

(Office use only) School Contacts Details

Company details

School Sport Association
- ACS
- AGSV
- APS
- GSV
- EISM
- SIS
- SACCSS
- ACC
- Playball
School
- St Michael's Grammar
- Overnewton
- Camberwell Grammar
- Trinity Grammar
- PEGS
- Ivanhoe Grammar
- Marcellin College
- Mentone Grammar
- Haileybury
- Xavier College
- Xavier College - Kostka Hall
- Ivanhoe Girls Grammar
- Melbourne Girls Grammar
- Loreto Mandeville Hall
- St Catherine's
- Alphington Grammar
- Kingswood College
- Mount Scopus
- Emmaus College
- Edinburgh College
- Emmanuel College
- CRC St Albans
- St Michael's Junior School
- Christ Church Grammar
- South Yarra Primary
- Middle Park Primary
- Elsternwick Primary
- Other
School Position
Date Position started
Ongoing Position
Date Position finised