Coaches Application (Essex Minor Baseball)

Coaches Application

PERSONAL INFORMATION

Your submission will be sent to this address.

First Name :^*

Required

Last Name :^*

Required

Address^*

Required

Town^*

Required

Postal Code^*

Required

Email Address :^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone Number :^*

Required

Example: ###-###-####

APPLYING FOR

Category/Level^*

Required

Desired Team^*

Required

Do you have a child trying out for this team?^*

YesNo

Required

If yes, please provide name and birth year^*

Required

What experience do you have coaching / managing young athletes?^*

Required

Please describe any other youth activities that you have been involved in and how that experience will help you be an effective head coach^*

Required

Do you have NCCP Certification?^*

YesNo

Required

If Yes, what level?

Include number and last course taken

If No, will you commit to obtaining the proper certifications required?

YesNo

Are you willing to obtain a police clearance and provide it to us?^*

YesNo

Required

Please provide at least two references that we may contact ( Name, Phone and email address)

I understand that the information I have provided may be verified by contacting persons or organizations that may have information pertaining to me. I hereby release and agree to hold harmless any person or organization that may provide information, as well as Essex Minor Baseball Association, and their respective directors, officers, members, employees, volunteers, contractors, agents, successors and assigns.

In signing/submitting this application, I affirm that the information I have given is true and correct. I further understand that although applications are being accepted for all divisions, the division(s) I am applying for may not have an opening for a new head coach, and not all applicants will be interviewed.

I agree to the terms and conditions stated above^*

Coaches Application (Essex Minor Baseball)

PERSONAL INFORMATION

APPLYING FOR

Get Mobile!

Contact Us