VALLEY YOUTH ASSOCIATION

Pop Warner Football / Cheerleading

Coach’s Application

Name:_________________________________________DOB:_______________M____F____

Address:_______________________________________City:__________________Zip:_____

Home Phone:_______________Work Phone:_______________Cell Phone:______________

Place of work:___________________Social Security #:_______________CDL#___________

Are you applying for a head coach or assistant coach’s position:_______________________

For which group (football /cheerleading), and which division (PW / MD) would you like to be considered for:___________________ Second Choice (if not available):______________

Have you coached in Youth Football/Cheerleading before?_______ If so, please explain:__ _____________________________________________________________________________

Besides Youth Football/Cheerleading, have you ever coached before?_______ If so, please explain:______________________________________________________________________

Do you have a child enrolled in our program?_______ Child’s Name:__________ Div:____

Have you ever been convicted of a felony?_______ If so, please explain:_________________

______________________________________________________________________________

Would you be interested in a board position?_______ If so, please explain:______________

(ALL COACHES MUST BE FINGER PRINTED BEFORE THEY CAN COACH)

Please be aware that a coaching position involves a huge commitment. There is a lot of paper work and a lot of time involved. As a coach you will be responsible for all participants and equipment left in your care. As a coach, you are required to attend all scheduled meetings and participate in league fund-raisers.

Take time to consider your position. Being a coach is a very rewarding job. Your time spent will be rewarded by the gratification you receive from helping our youth.

Thank You for applying

Valley Youth Association