WJYAA Youth Volunteer Coach Application
WJYAA Youth Volunteer Coach Application
President: PO BOX 305 WJ Ohio 43162
First Name ______________________ Middle Name ______________________ Last Name ______________________ Street Address ______________________________________City ______________________State _______Zip _______ Home Phone ______________________Cell Phone ______________________Email ______________________ Choose Sport: Basketball Baseball Football Cheer-leading Volleyball Soccer Softball Lacrosse
Choose Position:
Age____
Assistant With Possible Coach:
Head Coach
what team or league:
Are you available to attend all practices and games? Yes No If no, please explain. ________________________________ __________________________________________________________________________________________________ What is your experience coaching youth sports? __________________________________________________________ __________________________________________________________________________________________________ What is your experience with the game you list above? ________________________________________________________ _________________________________________________________________________________________________ Why do you want to coach for WJYAA Youth Program? __________________________________________________ Have you ever been suspended or removed from a coaching position? Yes No If yes, please explain. __________________________________________________________________________________________________ __________________________________________________________________________________________________ References: Please list three references. Do not include family or relatives. Name ______________________Phone Number ______________________Years Known ____________ Name ______________________Phone Number ______________________Years Known ____________ Name ______________________Phone Number ______________________Years Known ____________ Have you ever been convicted of a crime, other than a minor traffic violation? Yes No If Yes, please explain. I agree to follow all rules and regulations adopted by WJYAA OR THE LEAGUE.
I Also hereby certify that the facts set forth in this application are true and correct to the best of my knowledge. 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. I also understand that I will abide by all the rules, polices, and bylaws of the league or WJYAA and I will be held accountable to my actions if I fail to follow these rules or polices. I also understand and acknowledge that false information provided by me on criminal convictions will result in disqualification or in dismissal. There are no guarantees either expressed or implied that indicates you will be offered a coach position. All final coaching decisions are the exclusive right of WJYAA Executive Board. Those interested must make application each sport season of interest. Signature ____________________________________________Date______________________ For Official Use Only: Favorable Unfavorable
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If selected as a Head or Assistant Coach here are some expectations:
Coaches Agreement:
Focus - I understand that the West Jefferson Youth Athletic Association, Inc. WJYAA Program is designed for the development of our youth. Responsibilities – I recognize that an important part of my coaching responsibility is to teach and demonstrate to all participants’ (players & parents) good sportsmanship, discipline, self-confidence, teamwork and cooperation. Coaches Meeting & League Rules – I understand that I’ll be required to attend a coaches meeting prior to the start of the season, where the West Jefferson Youth Athletic Association, Inc. WJYAA league rules, policies and procedures will be explained. I agree to abide by the regulations of the League. I will read the Concussion rules and follow the guidelines set by the State. Commitment – I wish to contribute to the youth of our community, and therefore submit this application to coach in the West Jefferson Youth Athletic Association, Inc. WJYAA
I ________________________________ have read the above Statement of Purpose
and commit myself to helping fulfill the purpose of the West Jefferson Youth Athletic Association, Inc. WJYAA, as stated above. I realize that my attitude and actions at all times reflect on the West Jefferson Youth Athletic Association, Inc. WJYAA, my team, my players and me. Also, I acknowledge that if at any time my character, attitude, or integrity is called into question that the West Jefferson Youth Athletic Association, Inc. WJYAA may review my coaching status and action may be taken to limit or prevent my participation with our organization. Finally, I understand that the physical, emotional, and spiritual safety of the children involved is of utmost importance to the integrity of the West Jefferson Youth Athletic Association, Inc. WJYAA. During the time that I may be a coach for the West Jefferson Youth Athletic Association, Inc. WJYAA, I promise to abide by the policies of the organization and set a positive example of sportsmanship and character for all of the children involved.
Signature ____________________________ Date ______ / ______ / _____ Please email or mail your application to the WJYAA president: [email protected] or PO Box 305 West Jefferson, Ohio 43162
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President: PO BOX 305 WJ Ohio 43162
First Name ______________________ Middle Name ______________________ Last Name ______________________ Street Address ______________________________________City ______________________State _______Zip _______ Home Phone ______________________Cell Phone ______________________Email ______________________ Choose Sport: Basketball Baseball Football Cheer-leading Volleyball Soccer Softball Lacrosse
Choose Position:
Age____
Assistant With Possible Coach:
Head Coach
what team or league:
Are you available to attend all practices and games? Yes No If no, please explain. ________________________________ __________________________________________________________________________________________________ What is your experience coaching youth sports? __________________________________________________________ __________________________________________________________________________________________________ What is your experience with the game you list above? ________________________________________________________ _________________________________________________________________________________________________ Why do you want to coach for WJYAA Youth Program? __________________________________________________ Have you ever been suspended or removed from a coaching position? Yes No If yes, please explain. __________________________________________________________________________________________________ __________________________________________________________________________________________________ References: Please list three references. Do not include family or relatives. Name ______________________Phone Number ______________________Years Known ____________ Name ______________________Phone Number ______________________Years Known ____________ Name ______________________Phone Number ______________________Years Known ____________ Have you ever been convicted of a crime, other than a minor traffic violation? Yes No If Yes, please explain. I agree to follow all rules and regulations adopted by WJYAA OR THE LEAGUE.
I Also hereby certify that the facts set forth in this application are true and correct to the best of my knowledge. 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. I also understand that I will abide by all the rules, polices, and bylaws of the league or WJYAA and I will be held accountable to my actions if I fail to follow these rules or polices. I also understand and acknowledge that false information provided by me on criminal convictions will result in disqualification or in dismissal. There are no guarantees either expressed or implied that indicates you will be offered a coach position. All final coaching decisions are the exclusive right of WJYAA Executive Board. Those interested must make application each sport season of interest. Signature ____________________________________________Date______________________ For Official Use Only: Favorable Unfavorable
Page 1 or 2
If selected as a Head or Assistant Coach here are some expectations:
Coaches Agreement:
Focus - I understand that the West Jefferson Youth Athletic Association, Inc. WJYAA Program is designed for the development of our youth. Responsibilities – I recognize that an important part of my coaching responsibility is to teach and demonstrate to all participants’ (players & parents) good sportsmanship, discipline, self-confidence, teamwork and cooperation. Coaches Meeting & League Rules – I understand that I’ll be required to attend a coaches meeting prior to the start of the season, where the West Jefferson Youth Athletic Association, Inc. WJYAA league rules, policies and procedures will be explained. I agree to abide by the regulations of the League. I will read the Concussion rules and follow the guidelines set by the State. Commitment – I wish to contribute to the youth of our community, and therefore submit this application to coach in the West Jefferson Youth Athletic Association, Inc. WJYAA
I ________________________________ have read the above Statement of Purpose
and commit myself to helping fulfill the purpose of the West Jefferson Youth Athletic Association, Inc. WJYAA, as stated above. I realize that my attitude and actions at all times reflect on the West Jefferson Youth Athletic Association, Inc. WJYAA, my team, my players and me. Also, I acknowledge that if at any time my character, attitude, or integrity is called into question that the West Jefferson Youth Athletic Association, Inc. WJYAA may review my coaching status and action may be taken to limit or prevent my participation with our organization. Finally, I understand that the physical, emotional, and spiritual safety of the children involved is of utmost importance to the integrity of the West Jefferson Youth Athletic Association, Inc. WJYAA. During the time that I may be a coach for the West Jefferson Youth Athletic Association, Inc. WJYAA, I promise to abide by the policies of the organization and set a positive example of sportsmanship and character for all of the children involved.
Signature ____________________________ Date ______ / ______ / _____ Please email or mail your application to the WJYAA president: [email protected] or PO Box 305 West Jefferson, Ohio 43162
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