1) Contact Details

Contact Details

First Name

Last Name

Preferred Name

Date of Birth

Gender

Form of Transport

Mobile Phone Number

Add another phone number

Phone Number (2)

Home Phone Number

Work Phone Number

Email Address

Address

Suburb

Postcode

Address (2)

Suburb

Postcode

Current Employment

Current University and Course

Ex-Student

Sport Lived Coach

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
Availability during the year

Please indicate the date you are available from and the date you are available until, ie. leaving Melbourne.

Available from
Available until

Please indicate the dates you are unavailable during the year, ie. uni exam periods, uni placement dates, holiday trips, etc.

Add Unavailabilities

Unavailability
Date
Date until (optional)

Reason

Area of Availability

Please indicate the regions that you are available to coach or umpire

no label
Select regions

2) Sports History

Sport Resume
Upload a copy of your current Sport resume (Sport resume accepted only)
Sport History

Please indicate if you are signing up as a:
- Coach only
- Umpire only
- or both Coach and Umpire

Coach

Coaching Experience

Please add a list of sports and a description of teams coached for each

Add Coaching Experience

Coaching
Select Sport

Please indicate: club/school, age group, competition level, competitions won, etc.

Playing Experience

Please add a list of sports and a description of teams played for each

Add Playing Experience

Playing
Select Sport

Please indicate: club/school, age group, competition level, competitions won, etc.

Coaching Accreditation

Add Coaching Accreditation

Coaching
Select Sport
Accreditation Level

Qualification description

Completed on

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

Umpiring
Select Sport

Please indicate: club/school, age group, competition level, tournaments, etc.

Umpire/Referee Accreditation

Add Umpire/Referee Accreditation

Umpiring
Select Sport
Accreditation Level

Qualification description

Completed on

3) 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/

Date expired (WWC valid for 5 years)
Upload a copy of WWC Card or Document

WWC 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

WWC Receipt Number

VIT Registration Number

VIT Registration Number (if applicable)

First Aid Qualification

Do you hold a current First Aid qualification. Yes or No

Date expired (First Aid valid for 3 years)
Upload a copy of your current First Aid certificate

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
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 copy of your current CPR certificate

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
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 copy of your current Anaphylaxis certificate

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
Course date booked on

4) Account Details

Bank Account Details

Please provide the details below of your preferred bank account for payment transfers.

Bank Name

BSB Code (Branch No.)

Account Number

Account Name

Tax Details

(Please complete Section A of the Tax File Number Declaration Form provided).

TFN Declaration Form Status (Office use only)

Do you currently hold an Australian Tax File Number. Yes or No

Tax File Number

Application Status

Do you want to claim the Tax-Free Threshold?
(Please ensure you have also answered this on Question 8 of the TFN Declaration).

Only claim the tax-free threshold from one payer af a time, unless your total income from all sources for the financial year will be less than the tax-free threshold.

Statement by Supplier Form Completed and Signed. (Please complete the Statement by Supplier Form provided).

ABN

ABN - Australian Business Number (if applicable)

5) 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

Referee

Reference Full Name

Reference Contact Number

Reference Email Address

Company

Position

6) MSI Staff Agreement

AVAILABILITY AND PLANNING YOUR COACHING AND UMPIRING SESSION
- 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. Please sign this form to verify that you have read and understood the contents:

6) 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 valid First Aid, CPR and Anaphylaxis (Epipen) training qualifications or obtain First Aid, CPR and Anaphylaxis (Epipen) 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 schrduled 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.

6) 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 levela. 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 sign this Commitment Contract below. This is a binding document and you are obligated to honour this agreement that you are making for the duration of your contract.

6) 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.

7) 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

7) 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 presented/dressed

Good presence

Punctuality. Were they on time

Communication

How articulate. Can you understand them

Do they listen

Attitude

Are they genuinely interested

Are they easy going

Do they seem attentive/responsible

Are they mature enough

Overall Assessment

Risk assessment. Where 1 is safe and 10 is very risky.

Overall Rating

(Office use Only) Incidents and Comments

Incident Report

Add Incident

Incident
Date
School

Type of incident

Incident Comments

Upload a copy of Medical Certificate
Feedback Report

Add Feedback

Feedback
Date
School

Feedback Comments

Comments

Add Comment

Comment
Date

Comments

Unsubscribe

Active/Inactive

Unsubscribe Date

(Office use only) Coach Allocation History

Coach Allocation History
Add Coach Allocation
School
Sport
Date started
Date finished

Reason for termination

Pay rate

Pay rate ($ per hour)

Pay rate (Date set)

Authorised by

MSI Uniform
Uniform item

Type of item

Size

Price

Payment procedure

Authorised by

Item Collected on

(Office use only) School Contacts Details

Company details
School Sport Association
School

School Position

Date Position started

Ongoing Position

Date Position finised
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.