KWMLA Coaching Application 2024
This applications is for both Boys and Girls Box and Boys Field Rep Teams 
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Email *
Name *
Home Phone Number *
Team Applying for 1st Choice Select Below
Please complete an application for each program
Boys Box REP Lacrosse (please select all interested in)
Clear selection
Boys Field Spring REP Lacrosse (Please select all interested in)
Clear selection
Girls Box REP Lacrosse  (Please select all interested in)
Clear selection
Do you have a child playing at this level?
Credentials & Experience
Lacrosse Coaching Certifications *
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) *
A copy of your responses will be emailed to the address you provided.
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