Coach Application Form - Cambridge Youth Soccer
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2CAMBRIDGE YOUTH SOCCER
Coach’s Application and Volunteer Registration Form
Please complete both sides of this form and mail to:
CYS Registrar, PO Box 390215, Cambridge, MA 02139-0003
Last name: ___________________________ First name: ___________________ MI: _______ Sex: F
M
Street address: _________________________________ City: ________________________ Zip: _________
Home #: _________________ Work #: _________________ Email: _________________________________
Occupation: _______________ Emergency contact: ________________________ Phone: ______________
Physician: ________________________ Address: ______________________________ Phone: __________
Medical insurance company: _____________________________________ ID #: _______________________
Date of birth: ______ / ______ / ______
(MYSA now conducts a CORI check on all CYS volunteers.)
I am applying for the position of:
Coach
Asst. Coach
Team Manager Age Group______
Referee
Age Group Coordinator for ____________
Other _________________________
The following section is for coach and assistant coach applicants only:
I would like to help in the following age group (Not applicable to referees):
In-Town: Age Group________
Boys
Girls _______________________________
Travel (BAYS): Age Group _______
Boys
Girls Division:________ 2nd choice: ______
st
nd
Practice day(s)preference: 1
choice: _______ 2
choice: _______ Location: ______________
CYS cannot guarantee that we can meet your preferences, but we will do our best to accommodate all volunteers.
Would you consider coaching a different age group or division?
Yes
No _____________
__________________________________________________________________________
COACHING LICENSE(S) and date taken: __________________________________________
__________________________________________________________________________
Please include copy of license (s).
COACHING EXPERIENCE: (Include age level and number of seasons)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
COACHING EDUCATION: Workshops, seminars, courses taken in addition to license courses:
___________________________________________________________________________
___________________________________________________________________________
PLEASE COMPLETE OTHER SIDE OF THIS FORM!
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Parent category: Business