SCN Travel Coach Application
Soccer Club of Newington Coaching Application 2017-2018
Coach Name *
Your answer
Coach Date of Birth *
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Coach home address *
Your answer
Coach Contact Information (Phone Numbers) *
Your answer
Coach Email *
Your answer
What team are you interested in coaching (Please include age and gender) - include year (ex: 2008) *
Your answer
List all Coaching Licenses (Modules, Certificates) you have received along with dates, as recognized by USSF, USYS, NSCAA, CJSA *
Your answer
List any other experiences that have helped mold you as a coach
Your answer
If you are new please list two references with contact information
Your answer
Are you interested in professional development / Coaching Education. If provided would you attend? *
As a coach, would you be flexible in your coaching assignment? 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" *
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. *
Your answer
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