Coaching Application
(2017-2018)
Name: Enter full legal name.
Address: Enter address.
Birthday: Enter birth date.
City: Enter city.
Home Phone: Enter home phone.
Zip: Enter zip code.
Daytime Phone: Enter daytime phone.
E-mail address: Enter e-mail address.
Team you are applying for:
☐Boys
☐Girls
☐U-11 (2007)
☐U-12 (2006)
☐U-13 (2005)
☐U-14 (2004)
☐U-15 (2003)
Previous year age: U-__ ☐Boys ☐Girls ☐Did not coach
Previous year level:
☐HSA/SYSA/SSUL Div __
☐NPSL Div __
☐PSPL Div __
Previous year Record: Win __ Loss __ Tie __
Coaches, Assistant Coaches, Trainers, Team Manager, Treasurer, are required to have a Risk Management
Assessment Number or have completed and submitted to WYS, the Volunteer Background Check form.
RMA Number: Enter RMA#.
RMA expiration date: Click to enter date.
Copy of coaches card, letter from state or WSP background check form attached: ☐Yes ☐No
Coaches please read carefully and initial.
Coaches must participate in the Tryouts and provide two volunteers for registration assistance on tryout dates.
Applicant’s initials: Insert initials.
Signing this document and the Coaches’ Code of Ethics is an agreement that you will follow the coaches’ code of
ethics and the by-law’s and decisions of the Highline Youth Soccer Association and the WYS coaches’ guidelines.
Signature: Sign here
.Date: Click here to enter a date.
Please complete the questions on the second page and return with this top portion and any supporting documents.
Coaching resumes, references, and letters of recommendation may be attached.
Describe your coaching background. Include age, gender and levels as coach, assistant coach, manager or trainer.
Describe your coaching background.
Do you hold a soccer coaching license? ☐Yes ☐No
Level of License: List license level. Year earned: List year.
Have you played? ☐Yes ☐No Level: List level (i.e. High school, club select, college).
Are you currently: Playing? ☐Yes ☐No
Refereeing? ☐Yes ☐No
How many teams do you intend to coach? Enter # of teams.
What are the ages, genders and level?
Click here to enter response.
Summarize your coaching philosophy in a sentence or two:
Click here to enter response.
What have you done this past year to improve your coaching?
Click here to enter response.
What is your greatest coaching strength?
Click here to enter response.
What is your greatest coaching challenge?
Click here to enter response.
What are your coaching goals for the coming season?
Click here to enter response.
Committee Comments:
Please complete the questions on the second page and return with this top portion and any supporting documents.