Registration: New Applicant

If you have not yet registered for access to our online scheduling system, please complete the following form.

* required field
Section I: APPLICANT INFORMATION
 

SUMMER MAILING ADDRESS (if different from Permanent Mailing Address)
Is your Mailing Address the same as your Summer Mailing Address?
 Yes
City
State
Zip/Postal Code

Section II: ADDITIONAL INFORMATION
If you have been referred by a PGC staff member, please enter their name.
Position(s) Applying For
Volunteer
Site Coordinator/Athletic Trainer
Training Instructor
Season Ops Team (RT/SEC/Staffing)
Director
Assistant Director
Site Coordinator
SC-Athletic Trainer
Basket Instructor
Volunteer
Age
Birthdate (note - you must be 18 years or older to apply online)
Shirt Size
Short Size
Are you CPR/First Aid Certified?
 Yes  No
CPR/First Aid Expiration
Emergency Contact Name
Emergency Contact Phone Number
Current School/Program (if applicable)
Have you ever been convicted of any crime, including sex-related or child abuse related offenses?
 Yes  No

Section III: Previous PGC Experience

New & returning paid staff please complete.

Previous PGC Involvement:
I have no experience with PGC
I have attended PGC as an Athlete
I have attended PGC as an Observing Coach
I have been a Volunteer
I have been a Basket Instructor
I have been a Site Coordinator
I have been a Store Manager
I have been an Assistant Director
I have attended a PGC-Glazier Clinic

If you selected "I have no experience with PGC", please skip to Section IV: Previous Experiences and Accomplishments.

Which courses have you attended or worked?
PGC Prep School
PGC Essentials
Point Guard College
PGC Game-Time
PGC Advanced Concepts
PGC Shooting College
PGC Athlete Performance College
PCG-Glazier Clinic
Which year(s) have you been on staff?
Number of PGC Sessions Attended as an Athlete or Observing Coach
Which Directors have you worked with?
Adam Turner
Brad Weber
Brittany Caporale
Chad Songy
Cole Rose
Cori Pacillo
Craig Nickel
Dave Daniels
Dena Evans
Donnie Bostwick
Duez Henderson
Graham Maxwell
Jamon Copeland
Jenny Boucek
Josh Templeton
Lee Taft
Mano Watsa
Markee Freeman
Micah Hayes
Nick Gast
Randi Peterson
Ryan Webb
Sam Allen
Sefu Bernard
Tommy Brown
Trevor Nerdahl
TJ Rosene
Tyler Coston
How many sessions have you worked or volunteered at previously?

Section IV: Previous Experiences and Accomplishments

(New applicants only.)

Please describe all leadership experiences you have had:
Please describe any experiences you have had teaching or coaching athletes:
Please list any previous basketball accomplishments as a coach or player (if applicable):
Why would you like to be involved with PGC?

Section V: References
Primary Reference: Current/Most Recent Employer or Coach
Primary Reference Phone Number (###) ###-####
Primary Reference Contact Email
Secondary Reference Contact Email
Secondary Reference Phone Number (###) ###-####
Secondary Reference: Previous Employer or Coach



Thank you for your interest!
 
 
Victoria, Texas, 77903
228-671-1579
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