Coach Résumé

Please complete this Coach Résumé in its ENTIRETY

Name

First Name

Last Name

Team Name + Division

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Cell

(###)

###

####

Work

(###)

###

####

Date of Birth

Must be 18 years of age or older – under 18 cannot be placed in a supervisory position

YYYY

Occupation

Employer

If student, please indicate in the field below.

Community Affiliations

Church, clubs, volunteering, etc.

Previous Youth Experiences

Coaching, teaching, youth organizations, etc.

Certifications

CPR/AED, Medical, etc.

Have you ever been convicted of a felony or do you presently have a criminal action pending against you?

YES

If YES, describe (each) in full:

Acknowledgement/E-signature - please initial

As a condition of being a coach at Traction Sportsplex, I give Traction Sports Performance permission to conduct a background check on me, which may include a review of sex offender registries, child abuse, and criminal history records. I understand that, if accepted, my status is conditional upon Traction Sportsplex receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability Traction Sportsplex, the officers, representatives or any other person or organization that may provide such information. I understand that I am subject to suspension and removal by Traction Sportsplex for violation of Traction Sportsplex rules or policies.

I certify under penalty of perjury that the above information is complete and accurate.

Agree