West Lancaster Youth Football
COACHES APPLICATION
SEASON: 2020
PLEASE SUBMIT ALL APPLICATIONS TO [email protected]
NAME:____________________________________ AGE:______ HM PHONE: (______)______________________
ADDRESS:_________________________________ CITY:____________________________ ZIP:_______________
OCCUPATION:_______________________________ EMPLOYER:______________________________________
WK PHONE: (______)_________________________ MARITAL STATUS:_________ (This is not mandatory)
COACHING POSITION REQUESTING: (Check 0ne)_____HEAD COACH_____ASST. COACH
DIVISION YOU ARE REQUESTING: (Check One)
______Gremlins______Pee Wee ______Bantam
(6, 7 Yr. olds)(8, 9 Yr. olds) (10, 11 Yr. olds)
______Midget______Junior ________Senior
(11, 12 Yr. olds)(12, 13 Yr. olds) (13, 14 Yr. Olds)
QUESTIONS:
1. Have you ever been suspended or put on probation by the Conference, an Association or any other youth sports program?______yes______no
If yes explain:____________________________________________________________________________________
2. Have you ever been convicted or plead guilty to any crime involving child abuse, illegal drugs, sexual assualt of a minor, contributing to the delinquency of a minor or domestic violence?
If yes explain:___________________________________________________________________________________
3. Do you posses a current valid First-Aid and CPR card? (Required prior to certification-Head Coach Only)
______yes______noexpiration date:_____________________
4. Will you have any children playing in the program? ______yes______no
What division(s)? ___________________________ will they be in: ____football ____cheer ____both
5. Will you be able to commit to attending practices as scheduled? ______yes______no
(Normal practice hours are between 5 p.m. and 8 p.m., for not more than two (2) hours.
6. Are your Saturdays normally free during Football season? ______yes______no
if no, please explain:_____________________________________________________________
7. Will you be willing to participate in all Football/Cheerleading Activities, as it is scheduled by your Association? ______yes______no.
8. Have you previously coached in a tackle football program?______yes______no
If yes, what age group?______________What type of program?_______________________
In what capacity? Ex: Head Coach or Assistant.______________________ Where?__________________
9. List your football playing or coaching experience:_______________________________________________
__________________________________________________________________________________________
10. List your experience in dealing with the public or parents:_______________________________________
__________________________________________________________________________________________
11. Please give us one (1) person’s name and phone number to be used as a personal reference in regards to your character:
___________________________________________________(________)___________________
12. There are a few items that are mandatory by the Pacific Youth Football League and WLYF to be a Head Coach. Can and will you be able to fulfill these requirements, and if not would you agree to a position of Asst. coach, or another position, if you’re applying for a Head Coach position.
______yes______no
_____________________________________________________________________________________________
THE MANDATORY REQUIREMENTS ARE AS FOLLOWS:
A. 1.) MUST attend 2020 PYFL Mandatory Coaches & Rules Clinic. 2.) MUST be USA Heads Up cerfified.
B. Every coach is required by the Conference to pass a background check. (Please note that you will be responsible for fees)
C. Every coach will be required to pay for their coaches shirt ($20) and comply with WLYF gameday dress code (navy blue/khaki docker style pants or shorts; NO JEANS).
D. Finally, I agree to comply with items A, B & C above, and further I agree to comply with all of the Rules and Regulations that are placed upon me, by Pacific Youth Football League and the West Lancaster Youth Football as a Head Coach or an Assistant coach or etc.
SIGNATURE OF APPLICANT:
I do hereby certify by my signature below, that I understand all of the obligations and requirements that have been stated above, and that I do hereby agree to abide by all these obligations, and to adhere to all of the Rules and Regulations placed upon me, by the Pacific Youth Football League and West Lancaster Youth Football.
SIGNATURE:_____________________________________________ DATE:_________________________________