Camas/Washougal Soccer Club

Select Team Head Coach Application

 

Name:     __________________________          Sex: ____             Age:   _____

Address: __________________________

City:       ______________      State: _____  Zip:  __________

Phone:    ___________________  (Daytime)

              ___________________  (Evening)

E-mail:    ___________________

 

Age Group:                     Boys _____          Girls _____           Age _______

Coaching Experience:      Years _______     Levels ____________

Coaching License:           Yes _____  No ______  Level ________

Referee Experience:         Yes _____  No ______  Years _____                   Grade ______

WA St. Backgr. Check:   Yes ____    No ____      Org: ____________

Medical Card:                 Yes _____  No ______  Type ______________________

 

Coaching Background:

 

 

 

Accomplishments (enter team, regular season, tournament and cup records on back of form, add player retention record and guest player use):

 

 

 

 

Coaching Philosophy:

 

 

 

 

References:

 

 

Mail To:                                                                                  Or:

Camas/Washougal Soccer Club                                   Gary Charlson

PO Box 981                                                                   1506 NW Beech Ct.

Camas, WA 98607                                                        Camas, WA 98607

Attn:  VP of Coaches, Select Coach Committee          (817-9002)

 

Due by:  2/06/04

                        Applications received after the due date will only be considered if the position is still open