Coach Application 2022

Volunteer Coach & Background Check Application

This form must be completed by any applicant 18 years of age and older. A background check will be conducted annually. Any information shared through this application will be kept confidential and only used in consideration of coaching responsibilities.
Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Present Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone *

Area Code Phone Number
Email *
example@example.com
Coaching Questionnaire

These questions must be answered honestly, take your complete history into consideration.
Personal History:
What trainings have you completed? *

Virtus CPR First Aide USA Heads Up Football
Are you willing to attend a training before you begin coaching? *

Yes No
Have you ever been convicted of, or pled “guilty” or “no contest” (“Nolo Contendere”) to, any crime, felony or misdemeanor? *

Yes No
Please explain your response above.
Have you ever had a problem with alcohol or drugs? *

Yes No
Please explain your response above.
Have you ever been involved with child abuse or neglect? *

Yes No
Please explain your response above.
Reason for Coaching:
What coaching position(s) would you prefer? *

Head Coach Assistant Coach Helping at practice
What grade would you like to coach? *

1st (flag) 2nd (flag) 3rd 4th 5th 6th No Preference
Why do you wish to coach? *
What do you feel is the goal of this program? *
KNOWLEDGE OF THE SPORT:
Have you ever participated/coached this sport? PLEASE EXPLAIN *
How will you evaluate your success or failure as a coach? *
By submitting this form I authorize Crusader Jr. Football Inc. to obtain, from any source, any information relevant to this application. I hereby authorize all sources to release such information to Crusader Jr Football. I give my permission for Crusader Jr. Football to do a criminal background check on me at their expense. I hereby certify that the foregoing statements are true and correct and I agree that any misstatement or omission as to material fact will constitute grounds for unfavorable consideration of my application or dismissal from volunteering with Crusader Jr. Football program. I have read and understand the questions asked on this page. I also understand that I will be working with young people and will respect their various levels of development and maturity, and remember to keep the sport fun for kids.
Signature

Clear
Should be Empty:

Volunteer Coach & Background Check Application

Coaching Questionnaire

Personal History:

Reason for Coaching:

KNOWLEDGE OF THE SPORT: