Southern Maryland HAWKS Football & Cheerleading
Where DOMINANCE & DISCIPLINE takes place on & off the gridiron PO Box 805 Bryans Road, MD 20616 http://www.smyahawks.org
[email protected] (301) 789-2701
SMYA HAWKS - FOOTBALL & CHEERLEADING COACH APPLICATION Purpose: This form allows the SMYA Hawks Board of Directors, through the use of a Coaching Selection Committee to follow a regimented process for the review and selection of volunteers to fill Head Coaching and Assistant Coaching positions for the upcoming football and cheerleading season within the Charles County Youth Football League (CCYFL). Prior to any individual being appointed as a Coach or Other Volunteer position they must submit a completed application, agree to a background check/ investigation and interview with the Coaching Selection Committee, all of which will be the basis for review and recommendation to the SMYA Hawks Board of Directors for final approval of appointment. Instructions: This form has been designed to allow the applicant to download and complete the application electronically for submission by email to
[email protected]. SMYA Hawks will consider and appoint candidates until all positions are filled. Applicant Information: Name Address City
State
Home Phone
Cell Phone
Email Address Date of Birth
Zip Code
Shirt Size Social Security # LEAVE BLANK - For security reasons, to be completed manually for submission
Employment Information: Employer Address City
State
Zip Code
Submission of this form authorizes and fives consent for Southeastern Security Consultants, Inc. (SSCI) to obtain information regarding myself. This includes the following information: - Criminal background records/information - Sex Offender Registry Checks - Addresses - Social Security Verification I, the undersigned, authorize this information to be obtained either in writing or via telephone in connection with my application. Any person, firm or organization providing information or records in accordance with this authorization is released from any and all claims of liability for compliance. Such information will be held in confidence in accordance with the organization's guidelines. Print Name Signature
Date
Southern Maryland HAWKS Football & Cheerleading
Where DOMINANCE & DISCIPLINE takes place on & off the gridiron PO Box 805 Bryans Road, MD 20616 http://www.smyahawks.org
[email protected] (301) 789-2701
Position Volunteering For: Football
Cheerleading
Head Coach - Responsible for all team functions
Assistant Coach
Division:
AnkleBiters
70lb
80lb
90lb
100lb
120lb
Unlimited
If applying for Head Coach and not selected, are you willing to consider Assistant?
Yes
No
Yes
No
If not selected for the primary selection, do you have a secondary weight division? AnkleBiters
70lb
80lb
90lb
100lb
120lb
Unlimited
Please list any children you have participating this season: Name of Child #1
Weight Class
Name of Child #2
Weight Class
Name of Child #3
Weight Class
Name of Child #4
Weight Class
Coaching Experience: Do you have any CCYFL tackle football or coaching experience?
Head Coach Year
Weight Class
Organization
Year
Weight Class
Organization
Year
Weight Class
Organization
Year
Weight Class
Organization
Year
Weight Class
Organization
Assistant
Please list any coaching clinics you have attended to prepare for this upcoming season: Clinic #1 Clinic #2 Clinic #3 Cinic #4 Clinic #5
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