Coaching License Reimbursement Request Form The Soaring Capital Soccer Club (SCSC) encourages the continuing development and education of its coaches. SCSC wishes to support coaches in their pursuit of professional excellence by funding mutually beneficial coaching license opportunities. Any coach interested in advancing their coaching certification through the completion of a USSF or NSCAA coaching course should discuss their intent with a SCSC Director of Coaching in advance of taking the course. Any coach (whether compensated or volunteer) who has completed a USSF or NSCAA coaching course may be eligible for the reimbursement of the fees associated with that course. Any coach seeking reimbursement for the fees associated with a recently completed USSF or NSCAA coaching course should submit this form within 90 days of completion of the course. Any coach (whether compensated or volunteer) who takes a coaching education course through USSF or NSCAA (USSF ‘D’ License and NSCAA Advanced Regional Diploma and up) and requests reimbursement by SCSC must commit to coaching two spring seasons for every course reimbursed by SCSC. Any coach who leaves the club without having fulfilled their coaching education obligation shall be required to payback SCSC in full or at a prorated portion of the earned license or diploma as determined by the Board of Directors.
Please read the Coaching License Reimbursement Policy above before completing this application. Name:
Date of Request:
License Title:
Date(s) License Training Completed:
Training Location:
Cost of License Training:
Home Address Line 1:
Home Address Line 2:
City:
State:
Zip Code:
Preferred Phone Number:
Please attach with this form the following information: Proof of License Completion/Certification Receipt for Training Expense
In the event the request is approved by the SCSC Board President and Treasurer, the Soaring Capital Soccer Club agrees to reimburse the applicant noted above the cost of the tuition associated with the license pre-described above. In return the coach agrees to the two spring season commitment term noted above.
By signing below, the person/coach agrees to the terms noted in this form: Signature:
Date
Please send completed and signed form to SCSC Board President and Treasurer Approvals President
Date
Treasurer
Date
Note: Tax consequences (if any) as a result of SCSC’s reimbursement under this agreement are the sole responsibility of the receiver.