Volunteer Coaches Application
The following application is the volunteer coaching position for Charlie's PLACE Summer 2025 YBL Season. Completing the application does not guarantee you will be a coach. As a part of coaching you will receive a stipend for attending coaches training and coaching. Once you have completed the application someone will be in touch.
Name
*
First Name
Last Name
Address
*
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Home Phone
*
Please enter a valid phone number.
Cell Phone Number
*
Facebook
*
Best way to contact you? Please select all that apply
*
Phone
Email
Text
Facebook Inbox
Do you have a child participating in YBL?
Yes
No
If so, please provide their name, age, grade, and school.
Will you be available to attend coaches training on May___ and May___ (A stipend will be provided for coaches attending training)
Yes
No
Education and Occupation
High School Name (If applicable)
College Name: (If applicable)
Do you have any type of certifications (If applicable)
Certifications
Do you have a CPR Certification
*
Yes
No
If so, when does your CPR Certification Expire?
Are you First Aid Certified?
*
Yes
No
If so, when does your First Aid Certification Expire?
Coaching Experience
Please select which age group/league you desire to coach. (You can choose more than one.)
*
Co-Ed (Boys and Girls grade 2nd – 4th)
Boys (grades 5th – 6th)
Girls (grades 5th -9th)
Middle School (grades 7th - 8th)
Is this your first time coaching YBL?
Yes
No
Position Applying For
*
Head Coach
Assistant Coach
If you selected Assistant Coach, please provide the name of the person you wish to coach with. If you do not know leave blank
Why are you applying to coach?
*
Coaching Education: Please select all that apply as it relates to your coaching education.
*
Coaching Course
Coaching Clinics
Books
Videos
Other
Do you have previous coaching experience with youth? If so, please explain
*
Coaching Philosophy and Objectives
Why do you want to Coach youth?
*
Describe your goals and the way you will accomplish your goals with the youth basketball league.
*
Have you been convicted of a crime involving youth?
*
Yes
No
If yes, please explain
References
Please provide the contact information for a reference
Reference 1: Name
*
First Name
Last Name
Reference 1: Email
example@example.com
Reference 1: Phone Number
*
Please enter a valid phone number.
Emergency Contact Information
Please provide contact information for your emergency contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Email
example@example.com
Emergency Contact Phone Number
*
Please enter a valid phone number.
Any additional information you would like for us to know?
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: