NCUSA National Team Coaches Pool Application

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Please complete this application if you are interested in assisting with one of our NCUSA National Teams. Head Coaches will selected by the NCUSA National Teams Committee. Assistant Coaches will be named prior to each event.

Full Name *

USA Coaches Membership Number *

You must be a Bronze Certified Coach and complete the Safe Sport Accreditation Program before coaching a NC National Team

Level Of Certification *

Bronze

Silver

Gold

None

Team you are interested in helping coach *

(***THESE DATES DO NOT INCLUDE CAMP OR TRAVEL DATES) If you wish to coach more than one team, you should select all that apply

Schoolboy National Duals - June 9-13 Franklin, Indiana

Cadet National Duals - June 9-13 Westfield, Indiana

Junior National Duals - June 15-19 Tulsa, Oklahoma

Cadet/Jr National Team (Fargo) - 16-23 Fargo, ND

Required

Do you have a preferred style to coach? *

Freestyle

Greco-Roman

I have no preference and can coach both styles

Team Leader Only

Would you be willing to serve as a Coach OR a Team Leader?

Yes

Maybe

Clear selection

What is the best number to contact you? *

What is your E-mail address? *

Date Of Birth *

YYYY

What is your current coaching position? *

Please list any school, club or academy where you currently coach

Are you SafeSport certified? *

Yes

Thanks for your application!

Your application will be forwarded to the head coach of the team you expressed an interest in, and to the NCUSA Executive Committee. If you have additional questions please contact the head coach for the team you are interested in helping with. For more information about National Teams, contact National Teams Committee at nc.nationalteams@gmail.com or 828-559-9351

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