Town of Webb UFSD Coaching Application 23-24

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Town of Webb Union Free School District

All athletes, coaches, parents, and spectators are expected to display good sportsmanship by being loud, being proud, and being positive at all athletic contests.

Fall Applications close on 5/26/23

Winter Applications close on 9/29/23

Spring Applications close on 2/2/24

Please complete this Application.

Address *

Name (First and Last) *

Cell Phone Number *

E-Mail Address *

What coaching position are you applying for? *

Boys Varsity Soccer

Girls Varsity Soccer

Boys Modified Soccer

Girls Modified Soccer

Coed Cross Country

Varsity Basketball

JV Basketball

Modified Basketball

Varsity Volleyball

JV Volleyball

Modified Volleyball

Alpine

Nordic

Varsity Baseball

Modified Baseball

Varsity Softball

Modified Softball

Boys Track & Field

Girls Track & Field

Volunteering

Required

What school year are you applying for? *

2023-2024

How many years of experience do you have coaching this sport? *

1-3 years

4-5 years

5-8 years

9 or more years

I do not have any coaching experience

Please provide the experience that you have coached and under what program and what was your role to the team. (example: T-ball for Old Forge Little League, Head Coach, Scorebook keeper, or Assistant Coach) *

I have created a NY TEACH Account? (https://www.highered.nysed.gov/tcert/teach/) *

Yes

Coaching Certification - Please check all that apply?: *

I am a certified NYS Physical Education Teacher

I am a certified NYS Teacher

I have served as a coach at the Town of Webb UFSD *prior to* 1974

I am a non-teacher coach and am in the licensing process.

Required

Have you completed any of the following coaching requirements? Check all that apply. *

I have received NYS Education Department Fingerprint clearance

I am up-to-date with the required First Aid Certification

I am up-to-date with the required CPR certification

I have completed the required Child Abuse Recognition workshop (Register online at www.violenceworkshop.com (if not completed))

I have completed the required Violence Prevention workshop (Register online at www.violenceworkshop.com (if not completed))

I do not have any completed at this time.

Required

If you are a non-teacher coach and are in the licensing process, which level are you currently at? *

First Temporary License

First Temporary License Renewal

Second Temporary License Renewal

Third Temporary License Renewal

Fourth Temporary License Renewal

Professional Coaching License

Not Applicable to me at this time

Required

I have completed the following Coaching Certification Courses. Check all that apply: *

Philosophy & Principles

Health Sciences

Theory & Techniques

I do not have any completed at this time.

Required

Athletics that you have participated in High School and/or College. Please provide Level and # of years played. *

Please list any special coaching training you have received, such as Coaching Clinics, or courses taken, etc. *

Additional comments:

Please provide 2 Professional References and phone numbers. *

I hereby certify that all entries on this job application and any attachments are true and complete. I also agree and understand that any falsification of this information may result in my forfeiture of employment.

I understand that all information on this job application is subject to verification and I consent to criminal history and background checks. I also agree that you may contact references and educational institutions listed on this application.

Yes

Please sign and date. *

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