Corunna Youth Football - (Corunna, MI) - powered by LeagueLineup.com

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Volunteer Coaches Application Form

Full Legal Name

* First:

Middle:

* Last:

* Address:

* City:

* Zip:

* Primary Phone:

Secondary Phone:

* Primary E-mail Address:

Secondary E-mail Address:

* Date of Birth:

I would like to be considered for a volunteer coach for the following:

* :

If more then 1 volunteer registers for the head coaching position the Corunna Youth Football Board has the final say in who that head coach will be. We will make our decision based on past experience with in our league, outside of our league, feedback from references you added to this registration, and other coaches. The assigned head coach will have the final say in their assistants.

Corunna Youth Football Coaching Experiance

Years as Head Coach:

List last season coached:

Years as 1st Assistant:

List last season coached:

Years as Assistant:

List last season coached:

Other Coaching Experience

Organization:

Position:

Years:

Coaching References

Name:

Phone Number:

Name:

Phone Number:

* Have you ever received any type of criminal conviction?:

If yes, please state for each said conviction, date of conviction, the offense of which you were convicted and the court in which you were convicted:

All coaches will be asked to go through a concussion training course and will need to turn in the certificate of completion prior to first practice. The training will be sent after all coaches are named to their teams.

I understand that the Corunna Youth Football League is interested in providing a safe, wholesome experience for all youngsters participating in the football program. I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if approved, falsified statements will be grounds for dismissal.
By signing this application I authorize CYF to conduct background checks including but not limited to a criminal background check, which may include but is not limited to criminal records and motor vehicle driver records, prior to accepting me for a volunteer coaching position. I understand this check may include but is not limited to investigation of all statements contained herein, all information concerning previous coaching assignments and any pertinent information they may have, personal and otherwise. I hereby release and indemnify all parties from all liability for any damage that may result from furnishing any information to the CYF or its agents. I will execute any and all additional releases as necessary.
The volunteer position of Head Coach or Assistant Coach, is an appointed position upon the approval of the Corunna Youth Football Board of Dirctors, and any person approved and designated as such will hold that position, be terminated at any time without prior notice for whatever reason(s) the Board of Directors deems necessary.

Submission of this form is my signature.

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