SCN Travel Coach Application
Soccer Club of Newington Coaching Application 2019-2020
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Coach Name *
Coach Date of Birth *
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Coach home address *
Coach Contact Information (Phone Numbers) *
Coach Email *
What team are you interested in coaching (Please include age and gender) - include year (ex: 2008) *
List all Coaching Licenses (Modules, Certificates) you have received along with dates, as recognized by USSF, USYS, NSCAA, CJSA *
List any other experiences that have helped mold you as a coach
If you are new please list two references with contact information
Are you interested in professional development / Coaching Education. If provided would you attend? *
As a coach, you agree to working within a pool play environment. With new USSF mandates the need to have "pools" of players may be needed to allow for creation of meaningful games for ALL. This is different than the traditional role of coach on a given "team". This means in our developmental age groups 9U-12U the intent will be to develop ALL that wish to be involved, NOT just those that are more athletically advanced at the current time *
By entering your initials in the box below, you are providing your signature, indicating that all the information on this form is true and you agree to follow the rules set forth by the SCN, USSF, USYS and CJSA. *
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