2026 Football Coaches Application
Applicant Information
Name
*
First Name
Last Name
DOB
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Coaching position(s) you'd like to be considered for (check all that apply)
*
Flag Head Coach
Flag Assistant Coach
Tackle Head Coach
Tackle Assistant Coach
Preference on positional groups that you'd be interested in coaching (Assistant Coaches only)
QB
RB
WR
OL
DL
LB
DB
Special Teams
Background & Experience Information
Have you ever been convicted of a crime?
*
YES
NO
If yes, please explain
Will you complete the necessary background screen through NCSI?
*
YES
NO
Do you have a current CPR card? If not, are you interested in attending a FREE CPR course?
*
YES
NO
Do you have a child/children in the organization?
*
YES
NO
If so, on what team?
Have you previously coached football?
*
YES
NO
If yes, what levels have you coached? (Check all that apply)
Flag
3/4
5/6
Middle School
High School
Other
If yes, how many years/seasons have you coached?
Do you have experience playing football?
*
YES
NO
If yes, what levels (check all that apply)
Youth
High School
College
Other
Have you coached other youth sports?
*
YES
NO
If yes, which sports?
References
Please list TWO personal references:
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employment
Company
*
Job Title
*
Supervisor
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Narrative
Why are you interested in coaching with the Derry Demons?
*
What makes you a positive role model for the youth of the Derry Demons?
*
How would the players and parents of the last youth sports team you coached describe you? (Write N/A if this does not apply)
*
What is your philosophy for coaching youth sports?
*
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to a coaching position, I understand that false or misleading information in my application or interview may result in my release. PLEASE TYPE FULL NAME
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