First Name *

Last Name *

Contact Email *

Contact Cell *

Why are you interested in coaching with Jackson Hole Lacrosse?

List any previous coaching experience, or experience working with youth. (include the names of the organizations) *

Please list any/ all lacrosse experience and accomplishments. Include playing experience with previous team/ organizations (youth, high school, college, post college; include names of the organizations). *

What Age Groups would you be interested in coaching? *

What is your availability for practices during the week and for travel games on weekends? Please list any restrictions or conflicts. *

List any current or previous community involvement in Jackson Hole (job/ career, volunteering, activities etc) *

What is your current job/ title/ employer? List any current or previous professional experience. *

How many years (or months) have you lived in Jackson Hole (or the local region, e.g. Teton Valley, ID or Alpine)? *

How many years do you see yourself living in in Jackson Hole (or the local region)? *

List at least one reference, your connection to them, and their email and phone contact (ie college coach, employer, etc) *

Have you recently had any of the following? (these are items that are required to coach with JHLC) *

Write any other comments or questions here. We will follow up to set up a call.