Roseville Youth Basketball Association

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2018-19 Travel Head Coach Application

RYBA Travel Head Coach Application Form

Personal Information

* Name:

* Address Line 1:

Address Line 2:

* Phone (home):

Phone (cell/work):

* Email Address:

* Select a Travel Program:

Boys Travel

Girls Travel

Either

* Grade Preference:

* Level Preference:

Prefer head or assistant coach?:

Experience

* Coaching Experience:

* Playing Experience:

* Years Coaching Travel Teams or Higher Level:

* Training (Clinics, etc.):

Reference #1

* Reference's Name:

* Relationship:

* Phone Number:

Reference #2

* Reference's Name:

* Relationship:

* Phone Number:

Additional Information You Would Like to Provide:

Questions

* Why do you want to be a coach?:

* What is your coaching philosophy?:

* What benefits will you provide to the athletes and the RYBA program?:

Agreement

In undertaking the responsibility of head coach of a youth basketball team, I agree to uphold and abide by the standards and guidelines as prescribed by Roseville Youth Basketball Associtation (RYBA).

I agree. *

I will make the well being and development of my players my number one goal, and agree to attend coaching clinics offered by RYBA.

I agree. *

I understand that I will be required to submit a Travel Head Coach's Commitment Form, and a Background Check Authorization Form as part of this application process.

I understand. *

* indicates required fields

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2018-19 Travel Head Coach Application