2019 AYSO 122 Coach All-Star Application
Email address *
Which division would you like to be considered for as an all-star coach? *
Name: *
Address: *
Cell Number: *
Have you ever had charges brought against you for child molestation, abuse or neglect? *
If yes, please explain:
How many years have you coached soccer? *
Where have you coached? *
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.
Date of your last Safe Haven Certification: *
Date of your last CDC Concussion Certification: *
Do you have previous All-Star experience? *
If you do have previous All-Star Experience, please explain:
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:
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? *
Please provide any other information which you feel would be helpful or relevant:
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 *
Reference #1 Phone Number & Email *
Reference #2 *
Reference #2 Phone Number & Email *
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: *
Today's Date: *
A copy of your responses will be emailed to the address you provided.
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