2025 SeasonMSBA Head Coaching Application

Full Name:*

First NameLast Name

Address:*

Street Address

Street Address Line 2

CityPostal Code

Phone Number:*

E-mail:*

Desired Level:*

Desired Age Group:*

Are you a returning coach?*

YesNo

NCCP Number:*

Use 00000 if you do not have a NCCP number.

Association(s) Previously Coached:

Coaching Experience (Level, Years, Association, Training obtained etc.):

Please give reference of any two:*

	Full Name	Contact Number
1
2

Record of criminal conviction will not necessarily be a bar to coaching, since the Mississauga Southwest Baseball Association will consider factors such as age, time of offense, the nature of and seriousness of the violation, and evidence of rehabilitation in making an decision.

Have you ever been convicted of a crime other than a minor traffic violation?*

YesNo

If the answer is “Yes”, please explain:

Accordingly, for the privilege of being a coach in the Mississauga Southwest Baseball Association, I hereby agree:

All of the information I have supplied on this application is true, accurate, and complete to the best of my knowledge and I agree to abide by all of the MSBA’s rules and regulations.
I give the Mississauga Southwest Baseball Association (MSBA) my permission to contact personal references or appropriate sources for the sole purpose of gathering information about my character and general reputation.
If the MSBA finds any of the statements or answers on this application to be false, misleading, or incomplete, or I fail to abide by all rules and regulations of the MSBA, I may be dismissed immediately from my managing/coaching position.
As an MSBA Manager/Coach, I understand that my actions are governed by the Parental Code of Conduct, regardless of whether I have a child on the team.
As an MSBA Manager/Coach, I understand that I am encouraged to participate in MSBA sponsored events.
As an MSBA Manager, I understand that I am responsible for all MSBA furnished equipment and I am required to return equipment on the designated date (as communicated to me by the MSBA).
As an MSBA Manager/Coach, I understand that I am required to attend the mandatory MSBA Coaches Clinic (OBA Rep only).
As an MSBA Manager/Coach, I understand that I may be asked to help with field maintenance and assist the MSBA Field Maintenance Committee.
As a MSBA Manager/Coach I assume all responsibility for any injuries or harm that might happen to me and will indemnify and hold harmless the MSBA, all Officers, Trustees, Members and othenr Managers/Coaches from any and all claims for liability that may occur in managing/coaching in the MSBA program.
I authorized Mississauga Southwest Baseball Association (MSBA) to perform a criminal records search on me. The report from the criminal records search will be a permanent part of the application and will not be released to the public. I agree to release and discharge MSBA or its authorized agent/representative from all liability for any damages that may arise from the request or release of information.

Signature*

Date Signed*

2025 Season MSBA Head Coaching Application