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
Previous Address (if you have lived at your current address less than 5 years, list prior addresses):
Your answer
Home/Cell Number:
Your answer
Work Number
Your answer
Do you have a valid Drivers License?
Driver's License State & Number:
Your answer
Have you ever received treatment for alcohol or drug abuse?
If yes, please explain:
Your answer
Have you ever had charges brought against you for child molestation, abuse or neglect?
Do you have any first aid training?
If yes, please explain which kind/age level:
Your answer
Have you ever coached soccer?
Required
If yes, how many years? Where have you coached?
Your answer
Have you ever played soccer?
If yes, how many years and where?
Your answer
What is your highest level of AYSO Coaches Training?
Are you Safe Haven Certified?
Are you CDC Concussion Certified?
Do you have any other formal coaching training?
If you do have any other formal coaching training, please explain.
Your answer
How many years have you coached AYSO? What age groups and gender?
Your answer
Do you have previous All-Star experience?
If you do have previous All-Star Experience, please explain:
Your answer
Are you an AYSO or USSF certified referee?
If you are an AYSO or USSF certified Referee, what is your badge level?
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?
Which days would you be holding practice?
Required
Do you understand if chosen to coach an All-Star team, you and your team are required to help run the Santa Barbara Splash Tournament in June of 2018?
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 #2
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:
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms