| Name (print) | Boys / Girls | Under 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16 / 17 / 18 / 19 | Class I / III | ||||||||
| Last | First | Middle I. | |||||||||
| Address | City | Zip | |||||||||
| Home Phone | Work Phone | Email Address | |||||||||
| Soccer Coaching Experience | Other Sports Coached | ||||||||||
| Number of years coached | Number of years coached | ||||||||||
| Age/s coached | Age/s coached | ||||||||||
| Coach License/s | Coach License/s | ||||||||||
| Referee License/s | |||||||||||
| Reason you wish to coach | |||||||||||
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Do you agree to abide by OVYSL Policies and Procedures ? Yes___ No___ I agree to select only assistant coaches/trainers that meet the requirements of the District II coaching policies and that meet with Orchard Valley Board of Directors' approval. Yes___ No___ Do you agree to attend all the Coaches' Meetings or send your Team Manager or other team representative in the event you cannot attend ? Yes___ No___ Do you plan to attend the next available Referees License Class, if currently not licensed ? Yes___ No___ Do you plan to pursue a Coaching License ? Yes___ No___ Are you interested in becoming an OVYSL Board Member ? Yes___ No___ Do you use illegal drugs ? Yes___ No___ Have you ever been convicted of a criminal Offense? Yes ___ No ___ If yes, please explain on the back of this page Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance and care of young people? Yes ___ No ___ If yes, explain on back of this page. |
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| Signature | Date | ||||||||||
| by signing the application the signer consents to a background check | |||||||||||
| Mail to: OVYSL, 3635 Jackson Oaks Ct, Morgan Hill, CA 95037 | |||||||||||
| League Phone: 779-6696 Web Site: www.ovysl.org | |||||||||||
| Please add any additional information on the back of this application. | |||||||||||
DEADLINE: December 15, 2007