VOLUNTEER COACH APPLICATION

Name

First NameMiddle NameLast Name

Phone

Format: (000) 000-0000.

Address

ADDRESS

Street Address Line 2

CITYSTATE

ZIP

Email

example@example.com

Do you have children registered in any of BCRC's Athletic Programs?

If yes, please list your children

Have you previous coached a Baldwin youth team?

If yes, when was the last year you coached?

Name of team and age group last coached

Have you received any kind of coaching training within the last three (3) years?

If yes, please describe

Is there a specific team you would like to coach?

If yes, please write in the age/grade you are requesting to coach

Please choose the sport you wish to coach for:

The primary concern and responsibility of the Baldwin City Recreation Commission is the safety of the children. If you are selected as a head coach, you will be put through a background check from a company called SSCI. The results of this check are sent to and will only be seen by the Assistant Director of the BCRC. Baldwin City Recreation Commission will follow the National Recreation and Park Association guidelines for credentialing volunteers. This document can be found on our website at www.baldwinrec.org. Failure to pass the background check will eliminate an individual from being a head coach for our organization. Questions? Call 785-594-3670.

SIGNATURE

DATE

Date