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Milwaukie Mustangs Youth Basketball Association Fall 2023-2024 Coaches Application Form
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Gender
*
Male
Female
Nonbinary
Prefer not to say
Birthday
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Auto Insurance Provider
*
Your answer
Preferred Grade Level to Coach
*
4th grade boys
5th grade boys
6th grade boys
7th grade boys
8th grade boys
4th grade girls
5th grade girls
6th grade girls
7th grade girls
8th grade girls
no preference
Coaching Position
*
head coach
assistant coach
Would you like to coach with someone else? Write their name below if so.
Your answer
Coaching experience
Your answer
Coaching references
Your answer
What is your philosophy in regards to winning?
Your answer
What is your philosophy in regards to sportsmanship?
Your answer
What is your philosophy in regards to discipline?
Your answer
What is your athletic background?
Your answer
What is your coaching philosophy?
Your answer
Do you have a valid first aid card?
*
Yes
No
AUTHORIZATION
I the undersigned, authorize this information to be obtained in connection with my volunteer application. Any person, firm or organization providing information or records in accordance with this authorization is released form any and all claims of liability for compliance. Such information will be held in confidence in accordance with the organization’s guidelines.
*
I authorize MMYBA to run a background check. *
Required
A copy of your responses will be emailed to the address you provided.
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