2014 BJF Coaching Application
BRIGHTON BULLDOG FOOTBALL AND CHEER COACHING APPLICATION MAIL COMPLETED APPLICATIONS TO: P.O. BOX 468, BRIGHTON, MI 48116-0468 OR EMAIL TO: [email protected] PLEASE PRINT INFORMATION CLEARLY
Date: Name: Last
First
Initial
Any Alias
Number & Street
City
State
Zip
Address: Position you are applying for: Football Cheer
Head Coach Assistant
Instructional (1st & 2nd Grades) Freshman (3rd & 4th Grades) Junior Varsity (5th & 6th Grades) Varsity (7th & 8th Grades)
If you participated in BBFC last year, what color/squad were you on: Black Instructional
Gold Freshman
Orange Junior Varsity
Did you receive certification from USA Football last year?
White Varsity
YES
Silver
NO
Date of birth: (mm/dd/year) YES
NO
Are you committed to all attendance requirements for coaching? Are you 18 years of age? Have you ever coached football or cheer before? Do you have a current Michigan Driver's License?
Driver's License Number
YES
NO
Have you ever been convicted or charged with a criminal offense? (Felony or misdemeanor) If yes, state the nature of the crime(s), when and where convicted/or charged, and disposition of the case:
Education: Names & Locations - List All
Years
Names & Locations - List All
Years
Names & Locations - List All
Years
High School University/College Vocational/Business Other Football Playing experience: High School University/College Professional Other Other Football Coaching Experience: High School University/College Professional Other BBFC Coaching Experience 2005
(Please list team Color & H = Head Coach or A = Assistant Coach) 2006 2007 2008 2009 2010 2011 2012
Instructional Freshman Jr. Varisty Varsity Page 1 of 2
2013
Degree Diploma
BRIGHTON BULLDOG FOOTBALL AND CHEER COACHING APPLICATION MAIL COMPLETED APPLICATIONS TO: P.O. BOX 468, BRIGHTON, MI 48116-0468 OR EMAIL TO: [email protected] PLEASE PRINT INFORMATION CLEARLY
Other relevant coaching or playing experiences that you would like BBFC to consider: Name & Location
# Years
Other Other Other Other Questionaire: 1) Why do you wish to coach within the Brighton Bulldogs Football and Cheer program?
2)
If you were not awarded a role as a coach, would you be willing to help the program in another capacity? If so, in what other area do you feel you could help the program?
3)
Would you be willing to coach a team that your son or daughter was not a participant on? If so, what other team would you be interested in?
In completing and submitting this application, I understand and agree: that any misstatement of the facts will be sufficient reason for immediate withdrawal of this application or in the event of coaching, is cause for termination. That my previous programs members may be asked for information concerning my coaching, character, ability and experience. That no question on this application has been answered in such a manner as to disclose my sex, race, color, religion, or national origin. That if allowed to coach, I might be required to furnish proof of age by birth certificate. I agree to abide by all the rules and regulations set forth by Brighton Bulldogs Football and Cheer and Livingston County Area Junior Football League. I certify the above answers to be true and correct. I understand that any false or misleading answers to these questions will be sufficient reason for termination of my volunteered coaching duties, and basis for termination of coaching. I also understand that investigators will verify my answers and that these investigators have the authority to perform background investigations for any criminal records using my drivers license number. I agree and understand that if selected by Brighton Bulldog Football as a coach, it is strictly voluntary and that I will not be compensated in any way. Please Mail Application to Brighton Bulldogs Football and Cheer (address on page 1). The above information is true to the best of my knowledge and belief. I authorize Brighton Bulldog Football to conduct a criminal background search, investigate any source listed in this application and verify any fact stated in my responses to the questions presented.
Date:
Applicant Signature:
Print Name:
Page 2 of 2
Date: Name: Last
First
Initial
Any Alias
Number & Street
City
State
Zip
Address: Position you are applying for: Football Cheer
Head Coach Assistant
Instructional (1st & 2nd Grades) Freshman (3rd & 4th Grades) Junior Varsity (5th & 6th Grades) Varsity (7th & 8th Grades)
If you participated in BBFC last year, what color/squad were you on: Black Instructional
Gold Freshman
Orange Junior Varsity
Did you receive certification from USA Football last year?
White Varsity
YES
Silver
NO
Date of birth: (mm/dd/year) YES
NO
Are you committed to all attendance requirements for coaching? Are you 18 years of age? Have you ever coached football or cheer before? Do you have a current Michigan Driver's License?
Driver's License Number
YES
NO
Have you ever been convicted or charged with a criminal offense? (Felony or misdemeanor) If yes, state the nature of the crime(s), when and where convicted/or charged, and disposition of the case:
Education: Names & Locations - List All
Years
Names & Locations - List All
Years
Names & Locations - List All
Years
High School University/College Vocational/Business Other Football Playing experience: High School University/College Professional Other Other Football Coaching Experience: High School University/College Professional Other BBFC Coaching Experience 2005
(Please list team Color & H = Head Coach or A = Assistant Coach) 2006 2007 2008 2009 2010 2011 2012
Instructional Freshman Jr. Varisty Varsity Page 1 of 2
2013
Degree Diploma
BRIGHTON BULLDOG FOOTBALL AND CHEER COACHING APPLICATION MAIL COMPLETED APPLICATIONS TO: P.O. BOX 468, BRIGHTON, MI 48116-0468 OR EMAIL TO: [email protected] PLEASE PRINT INFORMATION CLEARLY
Other relevant coaching or playing experiences that you would like BBFC to consider: Name & Location
# Years
Other Other Other Other Questionaire: 1) Why do you wish to coach within the Brighton Bulldogs Football and Cheer program?
2)
If you were not awarded a role as a coach, would you be willing to help the program in another capacity? If so, in what other area do you feel you could help the program?
3)
Would you be willing to coach a team that your son or daughter was not a participant on? If so, what other team would you be interested in?
In completing and submitting this application, I understand and agree: that any misstatement of the facts will be sufficient reason for immediate withdrawal of this application or in the event of coaching, is cause for termination. That my previous programs members may be asked for information concerning my coaching, character, ability and experience. That no question on this application has been answered in such a manner as to disclose my sex, race, color, religion, or national origin. That if allowed to coach, I might be required to furnish proof of age by birth certificate. I agree to abide by all the rules and regulations set forth by Brighton Bulldogs Football and Cheer and Livingston County Area Junior Football League. I certify the above answers to be true and correct. I understand that any false or misleading answers to these questions will be sufficient reason for termination of my volunteered coaching duties, and basis for termination of coaching. I also understand that investigators will verify my answers and that these investigators have the authority to perform background investigations for any criminal records using my drivers license number. I agree and understand that if selected by Brighton Bulldog Football as a coach, it is strictly voluntary and that I will not be compensated in any way. Please Mail Application to Brighton Bulldogs Football and Cheer (address on page 1). The above information is true to the best of my knowledge and belief. I authorize Brighton Bulldog Football to conduct a criminal background search, investigate any source listed in this application and verify any fact stated in my responses to the questions presented.
Date:
Applicant Signature:
Print Name:
Page 2 of 2
