Athletics Volunteer Coach Application

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This form is to be completed by individuals interested in being a volunteer coach for the NKCPS athletic program.

As defined by the Virginia High School League, a volunteer coach is one who (1) does not meet
any of the VHSL Coaches Rule criteria; (2) is not registered with VHSL; (3) is not allowed
to be on the team bench, sidelines, in the press box, in the locker room or involved in any
way during any VHSL contest; and (4) is allowed to help the coach or team during practice
sessions.

If you have questions or would like more details, please contact Athletic Director John Spiak at jspiak@nkcps.k12.va.us.

First Name: *

Last Name: *

Home Address: *

Employer/Occupation: *

Job Title: *

Preferred Phone Number: *

Email: *

Location: *

New Kent Middle

New Kent High

Required

With which sport(s) are you interested in volunteering? *

Check each box to certify the following statements: *

I declare the information on this application is true and correct. Any misrepresentation or omission will be considered sufficient cause to disqualify me for volunteer coaching opportunities at NKCPS .

I will comply with the rules and regulations set forth by VHSL.

During such times I am on NKCPS property, I agree to assume full responsibility for such participation and release NKCPS from any damages or injuries I may sustain.

I fully understand that if my services are no longer needed or my performance is not acceptable, NKCPS has the right to terminate my services without notice.

Required

Background Check

NKCPS runs a criminal background check and a child abuse and neglect registry check on every volunteer coach. Human Resources will notify schools if/when a coach is cleared and eligible to begin volunteering with our athletic program.

Applicants may NOT begin assisting at athletic practices before the background check is clear.

The applicant endorses this document by typing their full name below (first and last) and agrees that this will constitute an electronic signature.

Electronic Signature: *

Date: *

YYYY

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