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Codiac Soccer Club - Coach Application Form
Thank you for your interest in becoming a coach at Codiac Soccer Club! Please fill out the form below to help us learn more about your qualifications and experience.
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Email *
First Name *
(name)
Last Name *
(name)
Phone number *
What is your Date Of Birth ? *
MM
/
DD
/
YYYY
What gender do you bet identify with? 
Column 1
Male
Female
Non-Binary
Prefer Not To Say
Other
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Years Of Coaching Experience *
Please list all relevant certifications you have obtained (e.g., USSF, UEFA, Canadian etc.)
Preferred Coaching Level to work at:
Preferred Age Groups
Do you have the ability to drive and attend off-site games/practices reliably? *
Required
Do you speak any languages other than English? If so please specify below
Please indicate your available coaching hours per week (Weekdays)
Please indicate your available coaching hours per week (Weekends)
Why do you want to become a coach with Codiac Soccer Club ? *
Please acknowledge: Codiac Soccer Club requires all coaches to pass a criminal background check prior to hiring. Any past criminal convictions will be considered on a case-by-case basis and will not automatically disqualify you from being considered for the position. *
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