KWMLA Coaching Application 2020

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This applications is for both Box and Field Rep Teams both Co-ed or Girls

Name *

Home Phone Number *

Email *

Team Applying for 1st Choice Select Below

Boys Box REP Lacrosse

Boys Field REP Lacrosse

Girls Box REP Lacrosse

Girls Field REP Lacrosse

Do you have a child playing at this level?

Team Applying for 2nd Choice Select Below

Boys Box REP Lacrosse

Boys Field REP Lacrosse

Girls Box REP Lacrosse

Girls Field REP Lacrosse

Do you have a child playing at this level?

Credentials & Experience

Lacrosse Coaching Certifications *

BOX - Community Development (Level 1)

BOX - Competitive Introduction (Level 2)

FIELD - Community Development (Level 1)

FIELD - Competitive Introduction (Level 2)

WOMENS Field

NONE

Required

NCCP #

Other Coaching Certifications and Exerience

Please enter any other relevant coaching certifications and experience below.

References

Please provide two references below that we can contact by phone

Name #1 *

Phone Number *

Name #2 *

Phone Number *

Team Staff, Coaching Philosophy, Acknowledgement

Enter the following information to finish up your application

List any team staff you have in mind to help, if you are the successful candidate

List their name, position, and whether they are already certified or not.

Briefly explain your coaching philosophy and list any other skills/experience that would benefit you in this position.

I hereby certify that the above information is correct and is an accurate representation of my qualifications, and, will supply a Vulnerable Sector Check (Criminal Records Check) from the local police department where I reside. (at no cost to you) *

Yes

Submit

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