Coach Application

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please select the program you are interested in coaching:*

Please select the position you are interested in coaching:*

Please select grade in which you are interested in coaching:*

Please select the division in which you are interested in coaching:*

Please list Coach and/or Youth Related Certifications:

Please list any previous coaching experience:

How would you describe yourself as a youth sports coach?*

What is our coaching philosophy (winning, having fun, discipline, team work, etc....?)*

Describe your previous work with children?*

Please list other skills, playing experience or other experiences which qualify you as a youth coach?*

Have you ever been formally disciplined from a youth sports program either as a coach, parent or observer?*

NoYes, if so please explain below:

Provide any other reason(s) why LMYFC should choose you to coach?

Please provide Offensive Scheme (i.e. Double Wing), Defensive Scheme and why you selected each of these schemes. (Required for Football Only)*

What is your football playing experience level?

What is your football coaching experience level?

Please provide 2 coaching references: *

Please list all your children participating in LMYFC:

Head Coach Application Form