AYSO Matrix 11-S Evaluation Form to Promote U9 EXTRA Team to Matrix U10

Coach Name: ______

Choose Matrix Program: / Bonita / Spring Valley / Chula Vista / Paradise Hills / South Bay
Choose Gender: / Boys  / Girls 

Objective: Effectively and appropriately promote teams who meet all of the AYSO guideline standards and a proven competiveness level to ensure they can compete at club level. AYSO Program and Team Management must have the answer “Yes” to all questions.

AYSO Program / Yes / No
In good standing with AYSO (no disciplinary issues, no red cards, etc.)
Supports AYSO programs by encouraging players' parents to volunteer by encouraging players and parents to volunteer for:
List name(s) if Applicable: Certified Referees
List name(s) if Applicable: Certified Coaches
Field Crew
Board Membership
Other
Participated for at least one year in the EXTRA Program
Team Management and Coaching education / Yes / No
Has one or more AYSO Certified Assistant Coaches on staff
Has one or more AYSO Safe Haven Team Managers on staff
Head Coach has US Soccer “E” License
Head Coach has AYSO U12 Coaching Course Certification
Assistant Coach has AYSO U10 Coaching Course Certification
Head Coach is a Certified AYSO Referee
Competiveness
Venue (Scrimmage, Season Name, Tournament Name) / Program (Core, EXTRA, Club) / Team Level (Core, EXTRA, AA-A, AAA, etc.) / Your Score / Their Score / Comments

I ______(Coach Name) certify that the facts stated above are true and correct to the best of my knowledge and belief.

______(Date) (Signature of applicant)

Authorization and Approval Signatures
By signing, the below has approved and authorized the promotion of the said U9 EXTRA team to AYSO Bonita Matrix.

Regional Matrix Director of Coaching or Regional Coach Administrator

______/ ______/ ______
(Name) / (Signature) / (Date)

Regional Matrix President or Regional Commissioner

______/ ______/ ______
(Name) / (Signature) / (Date)

Area 11-S Matrix Director of Coaching or Area 11-S Coach Administrator

______/ ______/ ______
(Name) / (Signature) / (Date)

Area 11-S Matrix President or Area Director

______/ ______/ ______
(Name) / (Signature) / (Date)