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Rapids FC Coaching Application
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Email
*
Your email
Todays Date
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MM
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DD
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YYYY
What level of coaching are you looking for?
*
Classic U13 -U19
Athena U13 - U19
Academy Boys
Academy Girls
RIAS Recreational Soccer
U6, U8, or U10 Recreational soccer
Mini Rapids
Other:
First Name
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Your answer
Middle Name
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Your answer
Last Name
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Your answer
Maiden name (if applicable)
Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address
*
Your answer
Age
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Your answer
Birth Date
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MM
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DD
/
YYYY
Occupation
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Your answer
Employer
*
Your answer
Driver's License
*
Your answer
Driver's License Expiration Date
*
Your answer
Have you ever been arrested and/or convicted of any violations of federal, state, local, or military law or statute?
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No
Yes
If yes please explain in the space provided
Your answer
A background check will be conducted on every applicant. Conviction does not eliminate coaching candidates from coaching. Each case is considered individually.
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I understand that a background check will be issued for me.
Please type your name. This e-signature will hold the same power as your written signature.
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