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Walking Basketball Expression of Interest to Deliver
Please complete the questions below
1.
Organisation name
2.
Address
Street Address
Postcode
3.
Contact person
4.
Email
5.
Phone
6.
Are you a registered Basketball Victoria Association?
Yes - go to question 9
No - go to question 7
7.
If
no
what type of organisation are you? ie. Local Government, Aged Care facility, community group
8.
If
no
are you aware of or have you contacted your local basketball association?
9.
Do you have access to a suitable venue for delivery of the program?
Yes - please go to question 10
No - please go to question 11
10.
Venue details - Basketball Victoria will conduct an audit of unfamiliar venues to assess suitability
Venue Name
Adress
Postcode
Number of courts
11.
Do you have a group/s of people interested in participating in the program?
Yes - please provide details below
No
If yes, how many people, age range, gender, day and time group meet
12.
Do you have a staff/volunteer member to deliver the program?
Yes - please provide details below
No
If yes, are they staff or volunteer, basketball knowledge
13.
How did you hear about Walking Basketball?
14.
Please provide any additional relevant information about your organisation and interest in Walking Basketball
