CYFA 2017 FOOTBALL

COACH APPLICATION

***Note-there is a REQUIRED coach’s clinic for rocket coaches ***

NAME (Please PRINT in all following blanks)

Last:______First:______Middle Initial:____

ADDRESS

Street:______City:______State:____ Zip:______

Years In Years at present If less than 2 years, please provide previous address

Michigan:______address:______below:

Street:______City:______State:____ Zip:______

PHONE (Please circle preferred contact)

Home:______Cell:______

Email:______

PERSONAL INFORMATION

Will you have a child(ren) in the program? ______Age Level(s)______FLAG or ROCKET

Name of son(s)/daughter(s)______

EMPLOYER INFORMATION

Occupation:______Employer:______

Street:______City:______State:____ Zip:______

COACHING HISTORY

What organizations know you as a volunteer?______

What other sports have you coached and for what organization(s)? ______

Did you coach in the program last year? Yes______No______

WHY DO YOU WANT TO COACH IN THE CYFA? WHAT ARE YOUR GOALS? (Use back if necessary)

______

______

______

______

______

DESIRED COACHING POSITION FOR 2017

Please indicate which age group and position preference:

3rd/4th ______5th/6th ______7th______Flag______Head Coach ____ Assistant ____ Either ____

BACKGROUND INFORMATION

Have you ever been convicted of a criminal offense? ______Yes ______No

If Yes, are you willing to discuss with an CYFA executive Board member?______(please initial)

If you answered "Yes" to the above question, please explain

Please exclude any situation involving traffic violations for which the fine was $200.00 or less or any offense that was settled in Juvenile Court or under a Welfare Youth Offender Law.

All other criminal offenses, regardless of the date, must be listed and explained below.

Please list the names and phone numbers (with area codes) of three (3) people who will serve as a reference for you.

Last Name /

First Name

/ Work Phone / Home Phone / League Use Only
Player Participation Rule (applies to all ages):
The C.Y.F.A. is an instructional league. All players must have a starting position on either offense or defense. All players must play as equally as possible, in all C.Y.F.A. games. The C.Y.F.A. will enforce the “Player Participation Rule” as follows:
1. Signature on coach’s application constitutes acknowledgement of the rule and is considered the first warning.
2. Written censure and one-week suspension from coaching (including practices and games).
3. Termination of coach’s position and privileges.
4. My signature below states that I understand the Player Participation Rule and will adhere to the rule at all times.
______
Coach’s Initial Date
Coaching Duties:
As a C.Y.F.A. coach I shall abide by the Coaches Code of Ethics as detailed in Section 9.3 - C.Y.F.A. By-laws.
In addition to the Code of Ethics, I will also abide by the following rules:
1 I understand that all head coaches are required to attend football clinics and any head coaches who fail to attend these clinics will lose their privilege to head coach for a period of 12 months from the last scheduled clinic.
2. I will return all issued equipment no later than 10 days following the last played game. Failure to do so will result in at least loss of the privilege to head coach for a period of 12 months from the last played game.
3. I will ensure that I am knowledgeable in the rules of the sport and teach these rules to my players.
4. I will seek approval from the C.Y.F.A. executive board prior to any discipline or dismissal of any player because of misconduct or unexcused absences.
5. I will notify my players and/or parents of practice times and locations. I will also organize practices that are fun and challenging for all my players.
______
Coach’s Initial Date

Consent For Criminal Background History Check – Authorization/Waiver/Indemnity

I hereby give my permission in exchange for good and valuable consideration for the Caledonia Youth Football Association, hereafter known as C.Y.F.A, to obtain information relating to my criminal history record. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication and delinquent conduct committed as a juvenile. I understand that this information will be used, in part, to determine my eligibility for the volunteer position with this organization. I also understand that as long as I remain a volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history as received by C.Y.F.A and a procedure is available for clarification, if I dispute the record as received. I, the undersigned, do, for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify and defend the C.Y.F.A. and each of their officers, directors, employees, and agents and hold them harmless from and against any and all causes of actions, suits, liabilities, cost, debts, and sums of money, claims and demands whatsoever, (including claims for the negligence, gross negligence, and/or strict liability of the C.Y.F.A.) and any and all related attorney’s fees, court costs, and other expenses resulting from the investigation of my background in conjunction with my application to become a volunteer member. I hereby affirm that my answers above are complete, true and correct and that I have not knowingly withheld any factor or circumstance that would affect my application. I understand that any false information submitted in this application (front and back) may result in my discharge. I hereby give my permission for the C.Y.F.A to perform a Criminal Background History Check, and also grant permission for reference check. I understand the Player Participation Rule and acknowledge its enforcement by the C.Y.F.A. I agree to work at least eight hours for the C.Y.F.Aduring the year for the benefit of all players and families that participate and attend all C.Y.F.A. events. I acknowledge that by simply submitting this application does not confirm acceptance as a volunteer with the C.Y.F.A. until reviewed and approved by the C.Y.F.A. Executive Board of Directors.

Applicant's Signature ______Date: ______

Applicants must read and sign this application

Please return all completed applications to Doug Fedewa or Jeremy Walter. Either bring to registration on May 20th, mail to: 6719 Chancery Dr., Alto, MI 49302 or email to

You can also apply online after May 1 by visiting calyouthfootball.com