So. Cal Warriors Basketball, Inc.

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Coaches Application and Certification

COACHES INFORMATION

* First Name:

* Last Name:

Address:

Phone Number:

Gender:

Do you have prior experience coaching basketball?:

How Many Years Experience do you have coaching Basketball?:

* Have you had the following training?:

Concussion Training and/or CPR Training

Coaching Training / Clinics

All of the Above

* Have you ever been convicted for any crime involving physical violence or sex related offenses?:

I have had third party screening such as from a Park/Rec, School or other screening for sexual abuse.:

Additional Comments (only use if explanation is required).:

AGREEMENT

I certify that I have read the information below and will adhere to the policy. *

So. Cal Warriors Basketball, Inc. prohibits and does not tolerate sexual abuse or misconduct in the workplace or during any organization-related activity. So. Cal Warriors Basketball, Inc.provides procedures for employees, volunteers, board members or any other victims of sexual abuse or misconduct to report such acts. Those reasonably suspected or believed to have committed sexual abuse or misconduct will be appropriately disciplined, up to and including termination of employment or membership, as well as criminally prosecuted. No employee, volunteer, board member or other person, regardless of his or her title or position has the authority to commit or allow sexual abuse or misconduct.
Definitions and Examples
The following definitions or examples of sexual abuse, misconduct or harassment, may apply to any and/or all of the following persons – employees, volunteers or other third-parties.
Sexual abuse or misconduct may include, but is not limited to:
• Child sexual abuse – any sexual activity, involvement or attempt of sexual contact with a person who is a minor (under 18 years old) where consent is not or cannot be given.
• Sexual activity with another who is legally incompetent or otherwise unable to give consent.
• Physical assaults or violence, such as rape, sexual battery, abuse, molestation or any attempt to commit such acts.
• Unwanted and intentional physical conduct that is sexual in nature, such as touching, pinching, patting, brushing, massaging someone’s neck or shoulders and/or pulling against another’s body or clothes.
• Material such as pornographic or sexually explicit images, posters, calendars or objects.
• Unwelcome and inappropriate sexual activities, advances, comments, innuendoes, bullying, jokes, gestures, electronic communications or messages (e.g. email, text, social media, voicemail), exploitation, exposure, leering, stalking or invasion of sexual privacy.
• A sexually hostile environment characterized as comments or conduct that unreasonably interferes with one’s work performance or ability to do the job or creates an intimidating, hostile or offensive environment.
• Direct or implied threats that submission to sexual advances will be a condition of employment or affiliation with the organization.

Reporting Procedure
Immediately report suspected sexual abuse or misconduct to Board of Directors or by email: socalwarriorsbasketball@gmail.com.. It is not required to directly confront the person who is the source of the report, question or complaint before notifying any of the individuals listed. So. Cal Warriors Basketball, Inc. will take every reasonable measure to ensure that those named in complaint of misconduct, or are too closely associated with those involved in the complaint, will not be part of the investigative team.
Anti-retaliation and False Allegations
So. Cal Warriors Basketball, Inc. prohibits retaliation made against any employee, volunteer, board member or other person who lodges a good faith complaint of sexual abuse or misconduct or who participates in any related investigation. Making knowingly false or malicious accusations of sexual abuse or misconduct can have serious consequences for those who are wrongly accused. So. Cal Warriors Basketball, Inc. prohibits making false or malicious sexual misconduct allegations, as well as deliberately providing false information during an investigation. Anyone who violates this rule is subject to disciplinary action, up to and including termination of employment or membership and criminal prosecution.

Investigation and Follow-up
So. Cal Warriors Basketball, Inc. will take all allegations of sexual abuse or misconduct seriously and will promptly, thoroughly and equitably investigate whether misconduct has taken place. The organization may utilize an outside third-party to conduct an investigation of misconduct. So. Cal Warriors Basketball, Inc. will cooperate fully with any investigation conducted by law enforcement or other regulatory/protective services agencies. So. Cal Warriors Basketball, Inc. will make every reasonable effort to keep the matters involved in the allegation as confidential as possible while still allowing for a prompt and thorough investigation.

Reporting to Law Enforcement or Appropriate Child or Adult Protective Services
So. Cal Warriors Basketball, Inc. is committed to following the state and federal legal requirements for reporting allegations or incidents of sexual abuse or misconduct to appropriate law enforcement and child or adult protective services organizations. It is the policy of So. Cal Warriors Basketball, Inc. not to attempt to investigate or assess the validity or credibility of an allegation of sexual or physical abuse as a condition before reporting the allegation to proper law enforcement authorities or protective services organizations.

The local LAPD division will be consulted to report such crime.
STATION INFO: 11121 N. Sepulveda Blvd, Mission Hills, CA 91345
818-838-9800 Voice
818-837-9858 TDD/TTY

CONSIDER THE FOLLOWING RESOURCE FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES: https://www.childwelfare.gov/.

Employee and Worker Screening and Selection
As part of its sexual abuse and misconduct prevention program, So. Cal Warriors Basketball, Inc. is committed to maintaining a diligent screening program for prospective and existing employees, volunteers and others that may have interaction with those employed by, associating with or serviced by So. Cal Warriors Basketball, Inc. . The organization may utilize a variety of methods of screening and selection, including but not limited to applications, personal interviews, criminal background checks and personal and professional references.
Supervision of Youth
To provide a safe environment for minors, So. Cal Warriors Basketball, Inc. strives that a minimum of two adult workers supervise or be in attendance with minors during organization-related activities. The purpose is to avoid one-on-one interactions between adults and minors that are not easily observable by others. If individual meetings with a minor must be held in an office, keep the door open. Only conduct closed door meetings when another adult is put on notice of the meeting and the door remains unlocked.

Acknowledgement Form: Sexual Abuse and Misconduct Prevention Policy
I acknowledge that I received and read the Sexual Abuse and Misconduct Prevention Policy and/or had it explained to me. I understand that it is my responsibility to abide by all rules contained in the policy. I also understand how to report incidents of sexual abuse or misconduct as set forth in the policy, including retaliation against any employee or volunteer exercising his or her rights under the policy.
I acknowledge that I will be alerted when changes and updates are made to the Sexual Abuse and Misconduct Policy and will be responsible for reading and complying with these updates.

NOTE: All final applicants are subject to a criminal background check. To protect youth sport participants from adults in the program who have a history of unacceptable criminal activity. The board will review all applicants and make final decisions on coaches and assistants.

* Signature (type name to certify this application):

* indicates required fields

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Coaches Application and Certification