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2023 Coaching Position Application
*
Applicant's Name:
*
Cell Phone number:
*
Email Address:
Instructions:
1. Type of position you are applying for. *Registration #s will determine what teams are fielded*
2. Team you are interested in Coaching. Please note that Assistant Coaches DO NOT get voted in until Head Coaches are selected and rosters are finalized.
3. Please make sure to complete all questions.
*
Desired Position:
Head Coach
Assistant Coach
Spirit Demo
Football Coach In Training(CIT)
Team Parent
*
Football or Cheer:
Football
Cheer
*
Team Level *Registration #s will determine what teams are fielded*:
Flag (5year-6year old's)
Flag -(7-8 year old's)
9U
10U
11U
12U
13U
Div 8 Cheer
Div 10 Cheer
Div 13 Cheer
Tinys Cheer
Div 8/Tinys
Disclaimer:
The information submitted in this form will be kept confidential and is for internal use by the HLYFC, Inc. only. It will not be distributed to anyone outside this organization.
Personal Information
*
First Name:
*
Last Name:
*
Middle Intial:
*
Date of Birth:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
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1994
1995
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1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
*
Home Phone Number:
Work Phone Number:
Residence
*
Current address:
*
City:
State:
*
Zip code:
*
Years at residence:
1
2
3
4
5
6
7
8
9
10+
Coaching Experience
List Organization name, coaching position and location of each
*
1. Organization:
2. Organization:
3. Organization:
*
Coaching Philosophy – Please describe your philosophy for coaching youth athletics::
References
Please list persons familiar with your character as it relates to young people: Please do not note Board Members as references.
*
Name:
*
Phone number:
*
Name:
*
Phone number:
*
Name:
*
Phone number:
Additional Information
*
1. Have you ever been convicted of a crime? (If yes, explain below) :
Yes
No
*
2. Have you ever been charged with child neglect or abuse?:
Yes
No
*
3. Has your drivers license ever been suspended?:
Yes
No
*
Have you ever not been allowed to coach in another league or on a team? Please explain if yes.:
*
4. Are there any facts or circumstances involving you or your background that would call into question your being entrusted, with the supervision, guidance and care of young people?:
Yes
No
If yes to any questions above please explain:
I understand that
The information that I have provided may be verified, by contacting persons or organizations named in this application, or by contacting any person or organization that may have information concerning me. I hereby release and agree to hold harmless from liability any person or organization that provides information. I also agree to hold harmless the association, its officers and volunteers.
*
Electronic Signature:
In signing this application, I affirm that the information I have given is true and correct.
*
Electronic Signature:
* indicates required fields