Coaching Application
Last Name________________ First Name__________________
The Mason Baseball Softball Club Board of Directors recognizes the vital role its coaches and other volunteers
play in the overall success of the MBSC in fostering youth baseball and softball in the Mason Community. We
thank and commend our volunteers for the interest, sacrifice and commitment they make to our children, our
programs and activities. The Board of Directors believes it is critical to not only safeguard those currently
involved in the MBSC activities but also to insure the time and effort that so many have invested in the Mason
Baseball Softball Club and its programs to date is maintained and the success of the organization continues.
Accordingly, we take coaching selection very seriously and intend to select coaches capable of providing the
positive experience that Mason’s boys and girls along with their parents deserve.
To help accomplish this goal all prospective coaches are required to complete and submit the Coaching
Application below. Please note that completion of this application does not guarantee a coaching position.
MBSC Coaching Applications are due by March 7, 2017!
Policies and Procedures for Coaches
All head and assistant coaches must pass or renew a free online “Heads Up” concussions training
created by the CDC. The training certificate must be attached to coaching application in order to be complete.
• All decisions regarding the assignment of coaching positions and duties are made exclusively by the
Mason Baseball Softball Club Board of Directors.
• Coaches must reapply for consideration for coaching each season.
• Coaches are required to report all serious injuries to the MBSC President, Vice President, or Board Member.
• Coaches must never leave a child alone at the conclusion of a practice or game.
• Except in cases of emergency, coaches are not allowed to transport players. (Responsibility of parents)
• Private and one-on-one coaching sessions with children are strictly prohibited unless parents are present.
• Alcohol, drug and tobacco use are strictly prohibited before, during and after the game or practice.
• Only coaches sanctioned and approved by the Mason Baseball Softball Club Board of Directors are
permitted to participate in games as coaches. Coaches are encouraged to allow parents to assist in practices.
Coaching Agreement: (Please initial each statement of agreement)
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I will become familiar with and abide by all league rules as well as all policies and procedures.
I will establish an appropriate and open line of communication with my players and their parents.
I will conduct a parent meeting at the beginning of the season.
I will attend all required meetings and events unless excused by a board member for a valid reason.
If selected to be a head coach, I will be responsible for the behavior of my players, my assistant coaches,
and my player’s parents at all times.
If selected to be an assistant coach, I will support the head coach at all times and never undermine his
authority.
 I understand that misrepresentation or omission of any information or pertinent facts may be cause for
rejection or dismissal from my duties as a coach.
 I give my consent to the MBSC to perform a criminal background check on me.
PERSONAL INFORMATION
Baseball Softball __ Head Coach __ Assistant
What age level are you applying to coach? Mustang /U10 (Ages 9-10) Bronco / U12 (Ages 11-12)
Pony /U14 (Ages 13-14) __Tee Ball (Ages 5-6) __ Machine Pitch (Ages 7-8) __Softball Coach Pitch(Ages 7What sport are you applying to coach?
8) __U8 Boys Kid Pitch
FULL LEGAL NAME (first/middle/last): _____________________________________________________________
DATE OF BIRTH (mm/dd/year): _________________
DRIVER LIC. #: _________________________________
SS #__________________________ STREET ADDRESS: __________________________________________
CITY and ZIP CODE: _________________________________________________________________________
HOME PHONE: ___________________________
CELL PHONE: __________________________________
WORK PHONE: ___________________________
EMAIL: ________________________________________
DO YOU HAVE A CHILD PARTICIPATING IN THIS SPORT?
If yes, please provide their:
YES NO
NAME: ______________________ AGE: ______ GRADE: ______ SCHOOL: _________________________
NAME: ______________________ AGE: ______ GRADE: ______ SCHOOL: _________________________
COACHING INTERESTS, BACKGROUND AND EXPERIENCE: (please use back for additional space)
State the main reason you would like to coach?
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List any previous coaching experience in this or any other sport. Include: Sport, age group, level etc.
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List any playing experience in this or any other sport. Include youth/recreational, high school, college, pro.
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List any coaching certifications, training, coaching clinics you have attended or special certifications (CPR,
Medical training, etc.).
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COACHING PHILOSOPHY AND OBJECTIVES
State your general coaching philosophy as it relates to coaching a youth sports team
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Describe the coaching goals and objectives you wish to accomplish as a youth sports coach
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Criminal Background Check
All prospective coaches are subject to a criminal background check. The background check may cover any and all
periods of adult life of the individual. The results of the background check are held in strict confidence but can and
may serve as a basis for disqualification upon determination by the Mason Baseball Softball Club Board of
Directors, in their sole judgment, a coach’s participation is not in the best interest of the MBSC, its players, or their
parents.
Have you ever been convicted of a crime or violation of the law, other than a traffic violation?
YES
NO
If yes, please explain:
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Hold Harmless and Indemnification Agreement
I hereby release, indemnify and hold harmless the Mason Baseball Softball Club, its Board of Directors and any
official, employee or volunteer of the Mason Baseball Softball Club against any and all claims resulting from my
participation in the program. With my knowledge, by participating in this activity, I assume any risk of injury.
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Signature of Applicant
______________________________________________
Date
Submit the completed Coaching Application Form
Via email to: [email protected]
Via first class mail to: Mason Baseball Softball Club
P.O. Box 261
Mason Michigan 48854
Heads Up Concussion Training Link
http://www.cdc.gov/concussion/headsup/online_training.html