Crossfire Select Coach Application

: Please provide as much information as possible; attach references, resumes, required documents or other background information.
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Personal Information

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Special Notices

Subject to Disciplinary Action {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you ever been subject to disciplinary action, placed on probation or suspended by a youth organization as a result of disciplinary action?

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Have you ever been terminated from or been asked to resign your position with a youth organization.

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Desired Position

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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Age Group {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Current or Past Coaching Experiences

Experience {binding ItemNumber}

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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Age group or Year players were born

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Approximate

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Recreational, Select, Premier, ADP/ECNL

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Coach Training Experiences

Cert/License/Clinic {binding ItemNumber}

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List your top reasons for applying to coach with Crossfire Select.

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Please upload only 2 documents in PDF or Word format.

Risk Management Clearance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Do you have a valid Risk Management Assessment - RMA

References

List three references that are willing to provide information about your coaching abilities.

Reference {binding ItemNumber}

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I have read the Coach's Agreement on the website and agree that, should I be accepted as a Head or Assistant Coach, for the duration of my affiliation with LWYSA, I will abide by WSYSA and LWYSA Codes of Conduct, existing policies and all applicable rules, regulations and laws.

I further understand that, if I accept a position as Head Coach, I am volunteering my time without compensation and it is my obligation to provide LWYSA with the names of all assistant coaches, trainers, team contacts, managers or anyone who will spend consistent time with the players relative to LWYSA and WSYSA soccer.

I understand that, should I be found in violation of any rules or policies of LWYSA and its affiliations, I will be given an opportunity for appeal as described in the WSYSA/LWYSA Coaches’ Handbook. If the violation is upheld, I will be subject to penalties specified, up to and including immediate suspension or dismissal. I further understand that some acts of misconduct may warrant immediate dismissal without an appeal.

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Crossfire Select Coach Application

Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Work Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Job Title/Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Special Notices

Subject to Disciplinary Action {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Terminated from Youth Organization {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes, please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes, please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Desired Position

Please Choose {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Age Group {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Current or Past Coaching Experiences

Experience {binding ItemNumber}

Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birth Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Starting {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Ending {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Club/Association/Sport {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Level of Play {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Noteable Items {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Coach Training Experiences

Cert/License/Clinic {binding ItemNumber}

Coach Licenses Acquired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date Acquired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Clinics, Seminars or Classes attended (with dates) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Describe Any Special Achievements or Awards {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Describe your Soccer Playing and Training Experiences {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Why Crossfire Select {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Resume {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Risk Management Clearance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

Reference {binding ItemNumber}

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Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I have read the Coach's Agreement on the website and agree that, should I be accepted as a Head or Assistant Coach, for the duration of my affiliation with LWYSA, I will abide by WSYSA and LWYSA Codes of Conduct, existing policies and all applicable rules, regulations and laws.

I further understand that, if I accept a position as Head Coach, I am volunteering my time without compensation and it is my obligation to provide LWYSA with the names of all assistant coaches, trainers, team contacts, managers or anyone who will spend consistent time with the players relative to LWYSA and WSYSA soccer.

I understand that, should I be found in violation of any rules or policies of LWYSA and its affiliations, I will be given an opportunity for appeal as described in the WSYSA/LWYSA Coaches’ Handbook. If the violation is upheld, I will be subject to penalties specified, up to and including immediate suspension or dismissal. I further understand that some acts of misconduct may warrant immediate dismissal without an appeal.

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Crossfire Select Coach Application

: Please provide as much information as possible; attach references, resumes, required documents or other background information.

Personal Information

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Home Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Employer {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Work Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Job Title/Occupation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Special Notices

Subject to Disciplinary Action {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Terminated from Youth Organization {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If Yes, please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Desired Position

Please Choose {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Age Group {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Current or Past Coaching Experiences

Experience {binding ItemNumber}

Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Gender {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Birth Year {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Starting {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Ending {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Club/Association/Sport {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Level of Play {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Noteable Items {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Coach Training Experiences

Cert/License/Clinic {binding ItemNumber}

Coach Licenses Acquired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date Acquired {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Clinics, Seminars or Classes attended (with dates) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Describe Any Special Achievements or Awards {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Describe your Soccer Playing and Training Experiences {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Why Crossfire Select {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Risk Management Clearance {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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References

Reference {binding ItemNumber}

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Title {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I have read the Coach's Agreement on the website and agree that, should I be accepted as a Head or Assistant Coach, for the duration of my affiliation with LWYSA, I will abide by WSYSA and LWYSA Codes of Conduct, existing policies and all applicable rules, regulations and laws.

I further understand that, if I accept a position as Head Coach, I am volunteering my time without compensation and it is my obligation to provide LWYSA with the names of all assistant coaches, trainers, team contacts, managers or anyone who will spend consistent time with the players relative to LWYSA and WSYSA soccer.

I understand that, should I be found in violation of any rules or policies of LWYSA and its affiliations, I will be given an opportunity for appeal as described in the WSYSA/LWYSA Coaches’ Handbook. If the violation is upheld, I will be subject to penalties specified, up to and including immediate suspension or dismissal. I further understand that some acts of misconduct may warrant immediate dismissal without an appeal.

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