COACHING APPLICATION FORM (Please Note: The Kanata Knights Football Executive reserves the right to accept or reject any application, All Head Coach positions must be approved by the Executive and or coaching coordinator. Name: _____________________________________________________________ Address: ____________________________________________________________ City: _________________________ Postal Code: ___________________________ Email Address: _______________________________________________________ Home Telephone Number: _______________________________________ Cell Phone: _________________________________ Birth date: __________________________________ All applicants must meet the following basic minimum requirements: 1. Coaches must agree with and abide by the rules of the Kanata Knights Code of Conduct. 2. The applicant is not listed on any Public Sex Offender Registry. 3. The applicant must not have been terminated from a job or position of influence because of inappropriate treatment of children. This would include any type of job that involves interaction with children (I. e. Daycare providers, teacher, Gym instructor, Sunday school teacher, Coaching, Scout leader, or as a volunteer). 4. The applicant must not have been convicted of a violent crime. 5. The applicant must have moderate knowledge of football, proper techniques, and fundamentals. They must be willing to get training for this position (I. e. coaching camps, books, and/or videos). I would like to be considered for Coaching for one of the following Kanata Knights teams: TYKE (Head Coach) _______________ (Assistant Coach) ______________________ MOSQUITO (Head Coach) _______________ (Assistant Coach) _____________________ PEEWEE (Head Coach) _______________ (Assistant Coach) ______________________ BANTAM (Head Coach) _______________ (Assistant Coach) ______________________ MIDGET (Head Coach) _______________ (Assistant Coach) ______________________ Do you have any children in the program: YES _______ NO _______ If yes what are their names ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 1 Previous Coaching Experience: Organization_____________________ Position __________________ Year ________ Organization ____________________ Position ___________________ Year_________ Organization ____________________ Position ___________________ Year________ Previous Playing Experience: Organization_____________________ Position ____________________ Year ________ Organization ____________________ Position_____________________Year_________ Organization ____________________ Position ____________________ Year_________ Please answer the following questions: 1. Why do you want to Coach Football? 2. What is your Coaching Philosophy and Style? 3. What specific skills will you teach and what methods will you use? 4. Are you able to commit the time to be a head or assistant coach? 5. Are you available to attend three practices a week with games on the weekend? If not, please explain and detail availability 6. Have you ever been convicted of a felony? _______Yes _______No If yes please explain. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ I understand that the Kanata Knights Football Program is interested in providing a safe, wholesome experience for all of the Youth Athletes participating in Knights Football. Accordingly, I hereby consent to Kanata Knights Football organization conducting a background reference check prior to accepting me for a coaching position. I understand that this check may include (but not limited to) obtaining information about prior arrest and convictions from law enforcement agencies. _________________________________ Applicants Signature _______________________________ Date Please return application to: Kanata Knights Executive Attn: President (Refer to website for President Contact information) All information listed on this application or obtained from a background check will be kept private and confidential. It will only be used for the purpose of filling coaching positions within Kanata Knights Football 2
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