St. Peter Coaching Application
By completing this registration form, you are applying to be a registered volunteer in St. Peter Catholic School. Please type or print clearly. Please Complete this form and turn in to a designated SPAC member. No nicknames or abbreviations please.
Jason *
First Name - Middle Initial - Last Name
Your answer
14105 Valley Hi Rd, Wichit *
Street & Apt. # (if applicable), City, State ZIP
Your answer
Email Address *
Your answer
Emergency Phone Number *
Cell Phone Number is Preferred
Your answer
Occupation
Your answer
Place of Employment
Your answer
Date of Birth *
MM
/
DD
/
YYYY
I would like to coach: *
Required
Are you willing to be a Head Coach? *
Would you be willing to coach a team your child is not on? *
Are you willing to coach an A, B, or C Team? *
Are you a registered member of St. Peter Parish? *
Are you willing to follow the policies & procedures of the SPAC Sports program? *
Are you willing to sign a coach’s agreement? *
Would you be willing to be an assistant coach? *
Have you been certified in a VIRTUS training session? *
ALL COACHES AT ST. PETER MUST SIGN THE WICHITA CATHOLIC DIOCESE POLICY ON SUSPECTED ABUSE OF CHILDREN & ATTEND A VIRTUS TRAINING SESSION.
Describe any formal/informal training or coaching experience you have had as a coach or volunteer: *
Your answer
What do you hope to gain from coaching at St. Peter? *
Your answer
Have you ever been convicted of any felonies. *
If the answer to the previous question is “yes” briefly explain below including the date.
Your answer
I affirm that all the information entered above is true and accurate. *
By entering my name below, I am electronically signing this document.
Your answer
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