Jaguar Elite Baseball

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Application for Head Coach/Manger Position

COACHING CANDIDATE INFORMATION

* Age/Grade Group Requsted:

* Last Name:

* First Name:

Middle Initial:

* Gender:

* Birthdate:

Address

* Street:

* City:

* State:

* Zip code:

* Home Phone:

Work Phone:

Cell Phone:

* EMail (Confirmation receipt will be sent to this address):

PLAYING HISTORY (Baseball Only)

* Played High School:

Name of High School:

* Played in College:

Name of College:

* Played Professional:

List Professional Teams:

COACHING EXPERIENCE (Baseball Only)

* Most Recent Team (Name)::

* Year Coached:

* League/Classification:

Position:

* Previous Team (Name):

* Year Coached:

* League/Classification:

Position:

Previous Team (Name):

Year Coached:

League/Classification:

Positon:

* In the last 5 years as a coach, manager, or parent, have you ever been removed or ejected from a youth sports game or activity by the umpires or league officials?:

If "Yes", provide any and all dates of occurrence, the details of the event(s), athletic association where the event occurred, and sports activity that you managed, coached, or attended as a parent::

* In the last 5 years as a coach, manager, or parent, have you been suspended from your youth coaching/managing duties by the local or state governing youth sports organizations or athletic association?:

If "Yes", provide any and all dates of occurrence, the details of the event(s), athletic association where the event occurred, and sports activity that you managed, coached, or attended as a parent::

REFERENCES (Baseball references preferred)

In the space below provide Name, Relationship, and Contact Information of 3 references.:

I submit that the information I have provided is true and accurate. I understand that the information, which I have submitted, will be evaluated and checked by the Jaguar Elite Baseball's Coach review committee and that a further background check may be required by Hoover Athletic Association or USSSA. In addition, I understand that as part of this evaluation process, I may be personally interviewed by the Jaguar Elite Baseball's Coach review committee.

By submitting this application, I agree to abide by the rules set forth by Jaguar Elite Baseball, Hoover Athletic Association and USSSA. I understand that my application will be denied if I have submitted false information, and, if I am approved to manage a Jaguar Elite Team, I understand that failure to comply with any Jaguar Elite Baseball, Hoover Athletic Association and USSSA rules could result in the immediate withdrawal of my privileges as manager of a Jaguar Elite Team.

I agree with the above and understand that this checkbox serves as my signature. *

Signature:

Date:

* indicates required fields

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Application for Head Coach/Manger Position