Township of Mahwah Youth Sports
Township of Mahwah Youth SportsFootball – 2020 Coaching Application1. Applicant’s Name: _____________________________________________________2. Address: _____________________________________________________________3. Home Number: __________________________________________ Cell Number: ____________________________________________4. E mail address:_______________________________________Shirt Size ___________5. Grade (Circle or highlight one):Flag (k-2nd)Mites: (1st/2nd)Pee Wee: 3rd or 4th Juniors: 5th or 6th Seniors 7th or 8th6. Position requested (be specific): _________________________________________7. If chosen, your intention would be to coach: (Circle or highlight one)1 year2 yearsSeveral Years8. Please list your coaching experience: Yrs / Seasons Position SportProgram 9. Have you ever received a TMYSB Warning for Inappropriate Coaches Conduct? (Circle or highlight one)YesNo10. Have you ever been suspended as a youth sports coach? (Circle or highlight one)YesNo11. Have you completed the Rutgers Certification Course? (Circle or highlight one) YesNo12. Have you taken and passed the Background Check(Circle or Highlight one)YesNo13. Do you have a job that requires you to travel a lot or work late often, which may result in missing practices and / or games ? (Circle or highlight one)YesNo14. Have you even been convicted of a felony? (Circle or highlight one)YesNo15. Please summarize your personal history / career in this sport that would indicate your experience and knowledge of this sport: ___________________________________________________________________________ ___________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________16. Please share any other reasons that you believe would make you a good choice to be the Head Coach / Ass’t Coach of this team: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________17. Is there anything negative that should be known about you that might affect the decision to select you as Head Coach / Ass’t Coach? (Please explain)_________________________________________________________________________________________________________________________________________________________________________________________________________________________________571500789305Scan and email completed form to:dwugman@00Scan and email completed form to:dwugman@Applicant Signature: ____________________________________Date: _________________ ................
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