Athletic Coaching Application

Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Home Phone*

Cell Phone*

Email*

example@example.com

Date of Birth*

Date

Social Security Number*

Please check your areas of interest.*

High School Athletic Sport Not Listed, including coaching Strength and Conditioning:

Please check your areas of interest.*

JH Head Coach Boys BasketballJH Assistant Coach Boys BasketballJH Head Coach Girls BasketballJH Assistant Coach Girls BasketballJH Head Coach Boys FootballJH Assistant Coach Boys FootballJH Head Coach Girls VolleyballJH Assistant Coach Girls Volleyball

Do you have a coaching certificate?*

Are you trained in CPR/First Aid?*

Do you have a valid CA driver’s license?*

Previous Experience in Coaching or Athletics:*

	Where	When	Level/Ages	Sport
1.
2.
3.

List any coaching clinics you have been to in the past three years.*

Professional Qualifications: What degree or degrees do you hold?

	Degree	Date Received	Issuing Institution
1.
2.
3.
4.

List at least three references.*

	Name	Phone Number	Email Address
Reference capacity
Spiritual Life/Pastor
Former Employer
Friend
Other

Bible: Do you believe the Bible to be the ONLY inspired and infallible Word of God, the final authority in all matters of faith, conduct, and truth?*

Statement of Faith: Please carefully read PPCS Statement of Faith and indicate your degree ofsupport.*

I support the Statement of Faith except for the area(s) listed and explained below.*

Church: Denomination:*

What church do you attend?*

What church activities and/or Christian service are you involved and to what degree of regularity?*

Why do you want to coach at Pacific Point Christian School?*

What is your philosophy on coaching?*

Explain your philosophy on winning.*

Explain your philosophy on making cuts.*

How should coaches, players, and fans treat referees and umpires?*

How would you incorporate Biblical principles into your coaching?*

How would you handle a player being disrespectful towards you, another player, or an official?*

How would you handle a disagreement with a parent?*

Who are some people you look up to and why?*

I understand that Pacific Point Christian School does not discriminate in its employment practices against any person of race, color, national or ethnic origin, gender, age, or qualified disability.

I hereby certify that the facts set forth in this application process are true and complete to the best of my knowledge. I understand that falsification of any statement or a significant omission of fact may prevent me from being hired, or if hired, may subject me to immediate dismissal regardless of the time elapsed before discovery. If I am released under these circumstances, I further understand and agree that I will be paid and receive benefits only through the day of release.

I authorize Pacific Point Christian School to thoroughly interview the primary references which I have listed, any secondary references mentioned through interviews with primary references, or other individuals who know me and have knowledge regarding my testimony and work record. I also authorize the school to thoroughly investigate my work records and evaluations and other matters related to my suitability for the position.

I authorize references to disclose to the school any information related to my life and employment, without give me prior notice of such disclosure. In addition, I hereby release the school, my former employers, references, and all other parties from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure. I waive the right to ever personally view any references given to the school.

Since I will be working with children, I authorize the school to conduct a criminal records check. I also certify that I have not been named in any petition which is/was pending before a civil or criminal court of competent jurisdiction (i.e. juvenile or criminal court) for any allegations or offenses, charges of abuse and/or neglect of children or adults. I have not been convicted of any type of civil or criminal offense (other than minor traffic violations.

I understand and agree that any offer of employment that I may receive from the school is conditioned upon the receipt of background information, including criminal background information. The school may refuse employment or terminate conditional employment if the school deems any background information unfavorable or that it could reflect adversely on the school or on me as a Christian role model.

I understand that this is only an application for employment and that no employment contract is being offered at this time.

Signature*

Date*

Date

A. PERSONAL:

B. POSITION DESIRED:

Pacific Point Christian School High School Athletics:

Pacific Point Christian School Junior High Athletics:

C. WORK EXPERIENCE:

D. REFERENCES:

E. PERSONAL STATEMENT OF FAITH AND ITS APPLICATION TO SPORTS

F. PERSONAL COACHING PHILOSOPHY

G. APPLICANT’S CERTIFICATION AND AGREEMENT (Reference Release Form):