Coaching Application Form Applicant Information Contact Name: Tel (h): ( Street: Tel (b): ( City: Fax: ( Postal Code: ) ) ) - - email: Position applying for: Age group applying for: All Star U8 U13 Select U9 U14 U10 U15 REP U11 U16 U12 U17 U18 Is there a related player involved? Qualifications: NCCP Number: _ _____________________________________ Minimum qualification required is Ontario Community Coaching Course Senior Level for REP Minimum qualification required is Ontario Community Coaching Course Youth Level for Select and All Star Coaching Experience: If you have coached within the past 3 years, please indicate the following: Year/Season Club Age Group League A resume outlining your qualifications for this coaching position may be attached to this application Personal References: Name: Address: Tel: ( ) - Name: Address: Tel: ( ) - Name: Address: Tel: ( ) - 1 Requirements: 1. A photocopy of your coaching levels attached to this application. 2. Any written personal references may be attached to this application. 3. A current police record check is a requirement for this position. A copy must be available for review at the time of your interview. 4. A personal interview. 5. Coaching candidates may be required to conduct a practice session as part of this application process. Deadline for submitting this application is on or before August 1st Agreement: I have reviewed and agreed to the role and position (as defined) and have accurately completed this application Signature: ______________________________ Date: Please mail or deliver this application to the club’s office: Brampton Youth Soccer Club 8950 McLaughlin Rd South, Building D Brampton, ON L6Y 5T1 For Club Use ONLY Date Received/Completed Application Photocopy of qualifications Resume Police records check Personal reference check Interview Practice session 2
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