Gladstone Softball Association - (Gladstone, OR)

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2024 Coach/Assistant Coach Application

Gladstone Softball Association Coach/Assistant Coach Application

* First Name:

* Last Name:

* Street Address:

* City:

* State:

* Zip Code:

* Home Phone:

* Cell Phone:

* Email #1:

Email #2:

* Returning Coach:

* Level Coached Last Year:

* I have a child playing this year:

* I am applying to coach/assistant coach this age group:

* Hat Size:

* Shirt Size:

Describe Previous Coaching Experience

Sport #1:

Age Levels Coached:

Years Coached:

Sport #2:

Age Level coached:

Years Coached:

Personal References
Reference #1 (New Coaches Only)

Name:

Phone:

Relationship:

Reference #2

Name:

Phone:

Relationship:

Consent For Criminal Background Check

* Full Name:

Any Names Previously Used (Maiden or Name Changes):

* Gender:

* Bithdate:

* Drivers License Issuing State:

* Drivers License #:

* Have you ever been convicted of any crime:

Yes

* SSN#:

If yes explain in detail:

I attest that I have answered the above questions fully and accurately. I give my permission to the GSA to conduct a criminal background check. I understand that all results will be kept confidential by the GSA Board. *

* indicates required fields