NYFC Coaches Application Form

Northern Youth Football & Cheer Coach's Application

Enter your Legal First Name

Enter your Legal Last Name

Street Address

City

Zip Code

Social Security Number

Date of Birth

Date

Home Phone

Cell Phone

Work Phone

Employer

Email Address

example@example.com

Childs Names and Dates of Birth

Select Sport

FootballCheerleading

1st Choice Position

1st Choice Squad

2nd Choice Position

2nd Choice Squad

Please list all experience as a Youth Head Coach or Assistant (year, level, league, organization, etc)

Please list all other coaching experience:

Please select if you have any valid certifications:

CPRFirst AidNYSCA

Are you wiling to participate as a volunteer for various projects to support the NYFC

I understand that my volunteer position with NYFC is contingent upon my truthful completion and NYFC's review of this form. I authorize and understand that NYFC may obtain a criminal history report. I understand that I may be immediately discharged for any misrepresentation or material omission on this form. I understand that any pending arrest or closed arrest is not an automatic bar to consideration of my application, but it is the intent of NYFC to deny a position to any person who has been convicted of sexual abuse or exploitation of a minor.

I have read and agree with the above statement.

Yes

Applicants Signature

Date

Northern Youth Recreation Association DBA Northern Youth Football & Cheer (NYFC)