Coaching Application
Little Rock Juniors Volleyball Club
Full Name
*
First Name
Last Name
Preferred Name
Gender
*
Male
Female
Birth Date
*
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Year
Age
*
E-mail
*
example@example.com
Cell Number
*
Format: (000) 000-0000.
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Job or Profession:
*
Have you ever been convicted of a felony?
*
YES
NO
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Coaching / Playing Experience
Coaching Experience:
*
None
Assisted Only
1 year Head Coch
2-3 year Head Coach
4-5 year Head Coach
6+ years Head Coach
Developmental coach
Coaching Levels: (Check all that apply)
*
Junior High School
High School
Collegiate
Club
None
Other
Please list all prior and current COACHING jobs, length spent at each job and ages coached:
Please provide any prior and current PLAYING experience:
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Rate your knowledge in these areas as they pertain to coaching volleyball:
(Use a 1-10 Scale with 10 being the highest)
Demonstrating Basic Skills
Player Evaluation (stats/team selection)
Drill Development
Practice Management
Professionalism
Verbal Communication Skills
Game Strategy
Work Independently
Nutrition
Conditioning
Conflict Resolution
Public Relations (ability to promote LRJ)
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Desired Position
Desired Position(s) - check any that apply
*
Travel Head Coach
Travel Assistant Coach
Semi-travel Head Coach
Local Head Coach
Practice coach, camps, clinics, skills
What age division would you like to coach and why?
*
If selected, what strengths would you bring to our LRJ program?
Please tell us anything else that may be important to your application or you would like us to know:
Acknowledgement
By submitting this form, I understand that Little Rock Juniors Volleyball Club is a sanctioned USAV club and that I will be required to pass a background check, complete required certifications to meet USAV guidelines for coaching and SafeSport and must abide by all USAV and LRJ Code of Conduct and Code of Ethics.
*
Acknowledged
Date
*
-
Month
-
Day
Year
Date
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