Coaching Application

PART I APPLICANT INFORMATION

Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address

Phone

If you would like to coach with another person, who and why?

Name and relation of associated player on the team.

Why do you want to coach a FC Storm team?

Position of interest (head coach, assistant coach, boys, girls, birthyear):

PART II COACHING AND EXPERIENCE

Considering the large time commitment required of a coach, do you feel that your family, job, etc, allow you sufficient time to dedicate to the team/club? *

YesNoNote; practices typically require from 1 to 3 sessions per week depending on your age group. Additional time is required for league games, tournaments and other club/team related activities.

Do you have a coaching license or diploma? *

YesNo

If yes, please list (including dates):

If you do not have a coaching license, are you willing to commit the time to obtain licenses required by FC Storm?

Describe your previous soccer coaching experience including clubs and roles (head coach, assistant coach, etc):Please include Year/Season, Position, Type (rec, indoor), Age Group, Boys/Girls, and Summary of Season.

Describe any additional youth sports coaching or teaching experiences you have had (coach, board member, referee, teacher, etc):

Describe any coaches training you have taken:

Briefly describe your playing experience:

While serving as a coach or assistant coach, have you had a complaint lodged against you (whether sustained or not) by a parent, player, another coach or referee? *

YesNo

If yes, please provide details:

PART III COACHING PHILOSOPHY

Describe your philosophy for coaching youth sports?

Considering the age you are applying for, please answer (you may attach additional pages if needed):

1) What will you stress as a coach?

2) How will you judge the success of your team?

3) Briefly describe your philosophy/approach to coaching:

4) List 3 values that drive your standards for coach, and explain why:

5) How does team culture contribute to overall team success?

PART IV REFERENCES

List two people (whom we may contact) who have knowledge of your coaching and professionalism:

Reference 1 Name *

Reference 1 Email Address *

Reference 1 Phone

How is this person acquainted with you?

Reference 2 Name *

Reference 2 Email Address *

Reference 2 Phone

How is this person acquainted with you?

PART V ADDITIONAL INFORMATION

If you are selected to coach, will you adhere to the policies and guidelines of the Loveland Youth Soccer Association and FC Storm? *

YesNo

A coach is responsible for the conduct of their team, including players and parents. If selected to coach will you be conscientious about overseeing the team’s conduct at practices, games, tournaments and other team/club events and adhering to rules and policies? *

YesNo

If you are selected to coach, do you agree to a background check? *

YesNoIf your application is approved you will need to pass a criminal background check conducted through Ohio South Youth Soccer Association before you are able to rostered as a club coach.

Have you been convicted of a felon? *

YesNo

If yes, please describe the circumstances and date.

Do you agree with the FC Storm disciplinary policies for coaches? *

YesNo

Please feel free to attach any additional information or resume that you feel will help us fully evaluate you as a potential coach for FC Storm.

PART VI AGREEMENT AND SIGNATURE

Terms

By signing below I certify that I have read the FC Storm Program policies and philosophy on coaching youth soccer and, if selected, agree to administer my team in accordance with the letter and spirit of such program and policies and otherwise support and adhere to the mission, development philosophy, programs, policies and procedures of FC Storm. I will be a positive representative of the FC Storm program on and off the field. I certify the statements made on this application, and if included, my resume, or additional documentation are true and correct and contain no material omissions.

Today's Date *