2019 AYSO 122 Coach All-Star Application
Email address *
Which division would you like to be considered for as an all-star coach? *
Required
Name: *
Your answer
Address: *
Your answer
Cell Number: *
Your answer
Have you ever had charges brought against you for child molestation, abuse or neglect? *
If yes, please explain:
Your answer
How many years have you coached soccer? *
Your answer
Where have you coached? *
Your answer
What is your highest level of AYSO Coach Certification? *
Do you have any other coaches certifications? (i.e. USSF E/F License, etc) *
If yes or other, please explain.
Your answer
Date of your last Safe Haven Certification: *
Your answer
Date of your last CDC Concussion Certification: *
Your answer
Do you have previous All-Star experience? *
If you do have previous All-Star Experience, please explain:
Your answer
The post-season usually lasts from November through June. The area/sectional/tri-sectional tournaments take place on multiple weekends during the months of January, February & March. Do you have any commitments that may conflict with coaching an all-star team? *
If you answered yes or maybe, please explain:
Your answer
Could your occupation cause you to cancel practices or not attend tournaments? *
Do you understand if chosen to coach an All-Star team, you and your team are required to help run the 2019 Santa Barbara Splash Tournament? *
Briefly state why you would like to be an All-Star coach. What would be the goals that you would like to accomplish during the post-season? What criteria would you use for selecting all-star players? *
Your answer
Please provide any other information which you feel would be helpful or relevant:
Your answer
Please list the name, address and telephone number of two persons who know you sufficiently well to comment on your past coaching or your potential as a coach:
Reference #1 *
Your answer
Reference #1 Phone Number & Email *
Your answer
Reference #2 *
Your answer
Reference #2 Phone Number & Email *
Your answer
By entering your initials & date in the boxes below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. You are also acknowledge you have read and agree with the Player and Parent Commitment Letter (link below).
Initials: *
Your answer
Today's Date: *
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A copy of your responses will be emailed to the address you provided.
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