Clifton Park Soccer ClubCoaching Application

Application Due: May 1, 2017E-Mail to: Kimcasssky@aol.com

Or Return to: Cassidy Jones434 Miller RoadRexford, NY 12148

Name: Phone #:

Address:

E-mail: Cell #/Fax:

Position Applying For: Age Group:

Do you have a child likely to play in the above age group? YES NOIf yes, at what age group and level did the child play last season?

Coaching Experience:S eason Team/ Level P osit ion Held

Playing Experience:S ea son W h e re L e v e l

Do you have a valid coaching license? YES NO (If no, skip the next line.)

License #: License Level: Year Awarded:

CDYSL now mandates that all coaches must have a valid coaching license. If you do not have a license, are you willing to attend a coaching course to obtain a license? YES NO

Please list any coaching clinics or courses you have attended?

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Being a coach in the Clifton Park Soccer Club requires a large commitment that may include: attendance at monthly club meetings, participation in fall practices, winter indoor practices, league games, and tournaments, and spring outdoor practices, league games, and tournaments. Do you anticipate being able to fulfill the majority of this commitment: YES NO

Briefly describe why you want to be a coach in the Clifton Park Soccer Club and comment on your coaching philosophy. You may attach additional sheets for comments or details.