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Online Coaching Application
Gladstone Junior Baseball Coaching Application
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Name:
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Phone:
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Address:
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Email:
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Employeer:
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Work Phone:
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Employer Address:
Returning Coach?
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Preferred Position:
Head Coach
Assistant Coach
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Preferred Coaching Level:
Rookies (K-2nd)
Minors (3rd-4th)
Juniors (5th-6th)
Seniors (7th-8th)
Coaching Experience (up to 3)
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Sport #1:
No Previous Experience
Baseball/Softball
Basketball
Football
Soccer
Other
Organization:
Age Group Coached:
How Long?:
Sport #2:
No Previous Experience
Baseball/Softball
Basketball
Football
Soccer
Other
Organization:
Age Group Coached:
How Long?:
Sport #3:
No Previous Experience
Baseball/Softball
Basketball
Football
Soccer
Other
Organization:
Age Group Coached:
How Long?:
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Personal Experience (Clinics, Playing, Training, etc):
Personal References (Must Provide 2)
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1) Name:
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1) Relation:
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1) Phone:
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2) Name:
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2) Relation:
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2) Phone:
Code of Ethics—As a coach I will provide the most positive and rewarding baseball experience possible for each player and try to maximize each player’s skill development and knowledge of the game of baseball. I will help players to achieve a greater level of self respect and sportsmanship, whether in winning or losing. I will conduct myself on and off the field in a manner that sets an example for the players. I will not participate in any inappropriate actions including, but not limited to, the use of tobacco, alcohol, drugs, poor sportsmanship, inappropriate language, physical contact or verbal abuse of players or umpires, or any other actions or behavior determined to be injurious or hostile to the interests of the Gladstone Junior Baseball Association.
Consent for Criminal Background Check
In order to protect the children in our care, Gladstone Junior Baseball Association conducts a background check on all coaches and volunteers. Checking the box below and submitting this application authorizes Gladstone Junior Baseball Association and Criminal Information Services, Inc. to obtain information about you (if applicable) from various law enforcement agencies, courts, and correction agencies.
Please enter your full legal name as shown on legal identification documents.
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Full Legal Name:
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Gender:
Male
Female
Other Names Used (maiden, alias, legal name change, etc):
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Birth Date:
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Driver's License / ID Number:
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Issuing State:
List previous addresses used in the last 7 years:
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Have you EVER been convicted of ANY crime? Failure to disclose or explain may make you ineligible for coaching:
No
Yes
If "yes" please explain:
Applicant’s affirmation: I have reviewed and completed this form as applicable to me. By checking the box below and submitting, I affirm that all information on this form is true and accurate. This authorization shall continue to be effective until revoked by me.
I give Gladstone Junior Baseball Association permission to verify this information and perform a background check
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* indicates required fields