Coaching Questionnaire

Area CodePhone Number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Coaches are set up as an independent contractors or part-time or full-time employees and coaching is seasonal. We typically offer the program in the winter (Jan/Feb), spring (March/April/May), summer (June/July/August), and fall (Sept/Oct/Nov). When is the first season you would be available to coach?

(Note: No potential coach will be denied solely on the grounds of conviction of a criminal offense. However, the date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to coaching and working with children may be considered.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Below, please describe your two most recent past and present employment positions. Please account for all periods of unemployment. Even if you have attached a resume, this section must be completed.

Area CodePhone Number

List below two people who have knowledge of your work performance within the last three years. Please include professional references only.

Area CodePhone Number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Area CodePhone Number

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Coaching Questionnaire

Availability

Personal information

Education, Training and Experience

Working with children and/or coaching experience

Personality questions

Employment history

Employer #1

Employer #2

References

Reference 1

Reference 2

Please acknowledge each paragraph and sign below