ABINGTON YOUTH FOOTBALL/CHEERLEADING

COACHING APPLICATION

Personal Information:

Name: ________________________________________________

Address: ______________________________________________

City/State/Zip: __________________________________________

Home Phone: ____________________________________________

Work: _________________________________________________

Cell: ___________________________________________________

Email: __________________________________________________

Children in League:

Childs Name (Last, First)  Age: Football/   Mite/Peewee/Midget

Cheer:  

____________________  ____ ________ _________________

____________________  ____ ________ _________________

____________________  ____ ________ _________________

Coaching Preference:

Head Coach____  Cheerleading____  Mite/Peewee/Midget

Asst. Coach____  Football_____

Coaching Experience: __________________________________________

____________________________________________________________

Reasons for wanting to coach. ____________________________________

_____________________________________________________________

Have you ever been refused participation in any youth programs?

If yes, explain: __________________________________________________

__________________________________________________

Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:

Name       Phone

________________________________________________

________________________________________________

________________________________________________

Are you CPR/First Aid Certified?  Yes_____ No_____ Please attach a copy of certification.

Have you ever been convicted of a felony or any crime involving violence or abuse? Yes___ No____ If yes, please provide details.

By signing this application I the undersigned:

· Acknowledge having read and agree to uphold the Coaches Code of conduct.

· Agree to file a CORI application. (Must attach copy of drivers license)

· Agree to uphold the AYF Bylaws and follow all decisions of the Board.

· Understand and agree that AYF reserves the right to dismiss a coach that is in violation of any Bylaw.

· No coaching application will be accepted without a completed CORI form and copy of license.

Signature: _____________________________ Date: ______________