COACHING APPLICATION FORM

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	COACHING APPLICATION FORM


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	COACHING APPLICATION FORM

Midlakes Jr. Eagles Football and Cheerleading Coaching Application

Page 1

Sport: Football Cheerleading

Position: Head Coach Asst. Coach Jr. Coach Parent Helper

Preferred Level: Flag A B C

Name ____________________________________ Social Security _____-_____-______

Address _____________________________ City ___________________ Zip __________

E-mail (H) ____________________________ E-mail (W) ___________________________

Phone (H)______________________ (W) ____________________ (C) ________________

Employer __________________________________ Occupation_____________________

Employer Address ___________________________ City_______________Zip__________

Drivers License Number ______________________ State ______ Expiration Date________

(Use additional sheets if necessary to answer the following questions)

Coaching Background and Philosophy:

______________________________________________________________________________

Other Coaching Experiences:

______________________________________________________________________________

Reason you are applying for the position with Midlakes Jr. Eagles Football and Cheerleading:

______________________________________________________________________________

Coaching References: (Previous coaches you’ve been directly associated with)

Name: ____________________________ Phone Number_____________Years Known_______

Name:_____________________________Phone Number_____________Years Known_______

Character References: (No relatives)

Name:_____________________________Phone Number_____________Years Known_______

Convicted of a felony (circle) Y N Yes? Date:_______ Location____________

Midlakes Jr. Eagles Football and Cheerleading Coaching Application

Page 2

Convicted of any crime either against, in concert with, or involving a child (circle) Y N

If YES: Date: ________ Location________________

Other than the above, is there any fact or circumstance involving your background that would

call into question your being trusted with the supervision, guidance, and care of a minor child?

(Circle) Y N

If YES, explain:

_________________________________________________________________

Please rate the following: (5 = highest)

Your knowledge of the MJE rules 1 2 3 4 5

Your knowledge of the FLYFCL rules 1 2 3 4 5

The importance of winning 1 2 3 4 5

The importance of good sportsmanship 1 2 3 4 5

Minimum play requirements for all participants 1 2 3 4 5

The importance of teaching fundamentals,

Technique, and safety 1 2 3 4 5

The importance of acceptable behavior 1 2 3 4 5

Willingness to complete all coaching administrative

Duties ON TIME 1 2 3 4 5

Do you currently have any of the following?

Coaching Certification CPR Certification

If NO, would you be willing to obtain the above prior to the beginning of the season? ________

Do you currently have any children in the league? (circle) Y N How Many? ________

Have you ever been suspended from a team, organization, or school premises for inappropriate

behavior? (circle) Y N If YES, Please describe and the year it took place:

_____________________________________________________________________________

As a coach with the Midlakes Jr. Football and Cheerleading (MJE) organization, I

understand and agree to the following:

? If approved by the MJE Board of Directors, the coaching position is approved for only

one season.

? I will abide by and promote the MJE organization’s mission, goals, rules, and

procedures, as outlined by the leagues By-Laws.

? I will exhibit good sportsmanship, self-control and act in a professional manner at all

MJE organizations sponsored games, practices, and events.

? As a coach of the MJE organization, I will support, promote, and participate in the

league activities and fund raisers.

? All coaching applicants must submit a new background verification form for each

individual season. (Direction to be provided)

Midlakes Jr. Eagles Football and Cheerleading Coaching Application

Page 3

(Coaching applications will not be accepted if not filled out completely and signed)

If approved as a coach, I understand that I may be required to attend a football coach’s clinic and I must

be CPR certified or have, at every practice, an individual who is so certified before I can begin physically

working with the team. I further agree that if appointed as coach, I am responsible for knowing,

understanding, communicating, and abiding by the by laws as set forth in the MJE Board of Directors

and any applicable FLYFCL rules.

Initials: ____________________ Date: _______________________

In signing this application, I affirm that the information I have given is true and correct.

Signature of Applicant _________________________________ Date_________________________

This information to be completed by the MJE Board

Background Check on file Y N Date Completed:

Head or Assistant Coach:

Flag

Board Approval Y N Date:

Midlakes Jr. Eagles
Midlakes Jr. Eagles Athletic League, Inc.
PO Box 157
Clifton Springs, NY
14432