Jr. Coaches Application Form

Jr. Coaches Application Form

Eligibility: 14-17 year old homeschoolers who desire an internship experience in youth athletics.
Student Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Birth Date*

MonthDayYear
Date
Education Level*
Emergency Contacts*
Currently Registered P.E. Class Location(s)*
Choose 12-week internship period:*

Spring Semester (January-May) - *Flag Football & Basketball*
Select your preferred internship location(s):

Anthem (Homeschool Athletics) - Anthem Community Center/Tramonto Park (Mondays @ 12:45/12:30pm)Chandler (After School Athletics) - Great Hearts Archway Chandler (Wednesdays @ 12:55-2:55pm)Chandler (After School Athletics) - Great Hearts Archway Lincoln (Wednesdays @ 1-3:10pm)Chandler (Homeschool Athletics) - Holy Trinity Lutheran Church *Aug-Sept only* (Thursdays @ 12:30pm)Gilbert (Homeschool Athletics) - Discovery Park *Oct-Mar only* (Thursdays @ 12pm)Goodyear (After School Athletics) - Great Hearts Archway Trivium (Wednesdays @ 1:55pm)Mesa (Homeschool Athletics) - Countryside Park *Oct-Mar only* (Mondays @3pm)N. Peoria (Homeschool Athletics) - Mountain Ridge Baptist Church/Alta Vista Park (Tuesdays @ 2:45/2:30pm)Phoenix (Homeschool Athletics) - Harvest Bible Church/Roadrunner Park (Tuesdays @ 9/9:15am)Phoenix (After School Athletics) - Hearn Academy (Fridays @ 3pm)
Why do you wish to be an intern in this program?*
Please explain which sports you have knowledge of (basketball, soccer, football, etc) and/or any personal experience in athletics.*
What are your interests or skills we should know about?*
I hereby acknowledge that the information given above is accurate and I do not have any disease or medical condition that prevents my participation in the activities.
Candidate Signature*

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