Hilliard Girls Softball Association
Hilliard Girls Softball Association PO BOX 707, Hilliard OH 43026
2016 COACHING APPLICATION Thank you for showing interest in coaching one of our youth teams. This questionnaire is to help us get to know you better. It gives us an opportunity to learn more about you, your experience, and your goals as a coach. Completing this form does NOT guarantee you a coaching position. Coaching positions are based upon need and final approval by the HGSA Board of Directors. We must have a completed application form, a copy of your driver’s license, and a favorable background check on file before you will be considered for a coaching position. Thank you, HGSA Board of Directors
General Information Name: First
Phone No: Home (
)
Middle
Work (
Last
Cell (
)
)
Please “ ” Your Preference for Use
Email: Concussion Awareness Training* Certification No. (Completion Code): *
Training is required by law and must be completed by all coaches. The course is free and certification remains valid for 3 years from date of completion. Instructions for initial certification and/or verification of completion will be provided as needed.
Position Desired Coaching position desired………………………………………………………………. Mentee †
Assistant
Head
Desired age-group………………………………………………………..……………………… Minors U8
U10
U12
Majors
Jersey/tee size………………………………………..………………………………….…………… M
XL
XXL
XXXL
L
ALL coaches: Player selection………………………………………………………. NOTE: Player selection is limited to a single player only. *Immediate family counts as the coaches pick.
Name & Date of Birth
HEAD coaches only: Assistant coach request…………………… NOTE: Teams are limited to one head coach and one assistant coach each. Additional assistants may be assigned by the board if available.
How long have you lived in your current community? …………………………………….………………………………………….………………. Have you ever been convicted of a crime? (Other than a minor traffic violation)………………………………………………………………….
Yes No
If YES please attach additional page(s) to explain †
The coach mentoring program does NOT include the major league. Mentees may request the minors, U8, U10, and U12 age-groups only
Experience Do you have experience playing softball? .................................................................................................................................... If YES please explain: (Youth/adult, slow-pitch/fastpitch, recreational/ travel, etc.)
Page 1 of 3
Yes No
Are you or have you been a certified ASA umpire? …………………………………………………………………………………..………………………. Yes No Have you coached for HGSA before? ……………………………………………………………………………………………………………………………………………
Yes No
If YES please explain: (Age-group, recreation/travel, years experience, etc.)
Have you coached other youth sports? ….……………………………………………………………………………………………………………………..………….
Yes No
If YES please explain: (Age-group, sport, league, years experience, etc.)
As a coach or player, have you ever been subject to disciplinary action by the league? ……..…………………. Yes No If YES please attach additional page(s) explaining the incident and resulting sanctions
Do you currently hold any coaching certifications? ………………..……………………………………………………………………………………….… Yes No If YES please list (including expiration date):
Coaching Philosophy Please describe your coaching philosophy:
BY SIGNING THIS FORM I AGREE TO FOLLOW THE RULES AND GUIDELEINES SET FORTH BY THE AMERICAN SOFTBALL ASSOCIATION AS WELL AS THOSE ADOPTED BY THE HILLIARD GIRLS SOFTBALL ASSOCIATION. I WILL HOLD SAFETY AND GOOD SPORTSMANSHIP AS MY HIGHEST ACHEIVEABLE GOALS. I UNDERSTAND THAT NONCOMPLIANCE IS SUBJECT TO DISCIPLINARY ACTION AND/OR REMOVAL BY THE BOARD OF DIRECTORS. ALL INFORMATION PROVIDED WITHIN APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I GRANT HGSA PERMISSION TO PERFORM A CRIMINAL BACKGROUND CHECK PRIOR TO MY ACCEPTANCE AS A COACH.
Signature:
Date:
* Please attach a copy of your driver’s license to this application * Page 2 of 3
Page 3 of 3
2016 COACHING APPLICATION Thank you for showing interest in coaching one of our youth teams. This questionnaire is to help us get to know you better. It gives us an opportunity to learn more about you, your experience, and your goals as a coach. Completing this form does NOT guarantee you a coaching position. Coaching positions are based upon need and final approval by the HGSA Board of Directors. We must have a completed application form, a copy of your driver’s license, and a favorable background check on file before you will be considered for a coaching position. Thank you, HGSA Board of Directors
General Information Name: First
Phone No: Home (
)
Middle
Work (
Last
Cell (
)
)
Please “ ” Your Preference for Use
Email: Concussion Awareness Training* Certification No. (Completion Code): *
Training is required by law and must be completed by all coaches. The course is free and certification remains valid for 3 years from date of completion. Instructions for initial certification and/or verification of completion will be provided as needed.
Position Desired Coaching position desired………………………………………………………………. Mentee †
Assistant
Head
Desired age-group………………………………………………………..……………………… Minors U8
U10
U12
Majors
Jersey/tee size………………………………………..………………………………….…………… M
XL
XXL
XXXL
L
ALL coaches: Player selection………………………………………………………. NOTE: Player selection is limited to a single player only. *Immediate family counts as the coaches pick.
Name & Date of Birth
HEAD coaches only: Assistant coach request…………………… NOTE: Teams are limited to one head coach and one assistant coach each. Additional assistants may be assigned by the board if available.
How long have you lived in your current community? …………………………………….………………………………………….………………. Have you ever been convicted of a crime? (Other than a minor traffic violation)………………………………………………………………….
Yes No
If YES please attach additional page(s) to explain †
The coach mentoring program does NOT include the major league. Mentees may request the minors, U8, U10, and U12 age-groups only
Experience Do you have experience playing softball? .................................................................................................................................... If YES please explain: (Youth/adult, slow-pitch/fastpitch, recreational/ travel, etc.)
Page 1 of 3
Yes No
Are you or have you been a certified ASA umpire? …………………………………………………………………………………..………………………. Yes No Have you coached for HGSA before? ……………………………………………………………………………………………………………………………………………
Yes No
If YES please explain: (Age-group, recreation/travel, years experience, etc.)
Have you coached other youth sports? ….……………………………………………………………………………………………………………………..………….
Yes No
If YES please explain: (Age-group, sport, league, years experience, etc.)
As a coach or player, have you ever been subject to disciplinary action by the league? ……..…………………. Yes No If YES please attach additional page(s) explaining the incident and resulting sanctions
Do you currently hold any coaching certifications? ………………..……………………………………………………………………………………….… Yes No If YES please list (including expiration date):
Coaching Philosophy Please describe your coaching philosophy:
BY SIGNING THIS FORM I AGREE TO FOLLOW THE RULES AND GUIDELEINES SET FORTH BY THE AMERICAN SOFTBALL ASSOCIATION AS WELL AS THOSE ADOPTED BY THE HILLIARD GIRLS SOFTBALL ASSOCIATION. I WILL HOLD SAFETY AND GOOD SPORTSMANSHIP AS MY HIGHEST ACHEIVEABLE GOALS. I UNDERSTAND THAT NONCOMPLIANCE IS SUBJECT TO DISCIPLINARY ACTION AND/OR REMOVAL BY THE BOARD OF DIRECTORS. ALL INFORMATION PROVIDED WITHIN APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I GRANT HGSA PERMISSION TO PERFORM A CRIMINAL BACKGROUND CHECK PRIOR TO MY ACCEPTANCE AS A COACH.
Signature:
Date:
* Please attach a copy of your driver’s license to this application * Page 2 of 3
Page 3 of 3
