USA Ultimate Coaching Development Program Workshop Presented by Five Ultimate
Women’s Rebate Application /

The Coaching Development Program (CDP) Workshop Rebate Program will subsidize up to $80 of the registration fee for participation in either USA Ultimate CDP Level I or Level II Workshops presented by Five Ultimate. The following participants are eligible to apply:

· women who coach a team in any division (open, women’s or mixed)

· men who coach women's or mixed teams

· maximum of two coaches per team

Program Rules

Please use this checklist to make sure you meet all program requirements prior to sending in your application.

In order to be eligible, applicants must:

  have a current, cleared NCSI background check, http://www.usaultimate.org/resources/athlete_protection.aspx

  have a current Coach, Coach/Player or Lifetime membership, http://www.usaultimate.org/membership/default.aspx

  pay the initial workshop registration fee via your USA Ultimate member account

  become a USA Ultimate certified coach (have attended clinic and passed test already)

  coach a team in a USA Ultimate Championship or sanctioned event and be listed on team and event roster

  make sure all team members on event roster have full USA Ultimate memberships

  not be a player on the team he/she is coaching

  meet all program rules within the last 12 months

Application

All questions are required.

Name [First]: [Last]: Sex:

Mailing Address: Apt/Ste: City: State: Zip:

Email: Phone: USA Ultimate ID#:

USA Ultimate Coaching Corps Workshop Information:

Date: //

Location (City and State):

Information about the team you are coaching:

Team Name:

Team’s Division:

Section/Region:

USA Ultimate Event Name:

Event Date:

Completed applications may be returned to .

USA ULTIMATE

5825 Delmonico Drive, Suite 350, Colorado Springs, CO 80919

Web: www.usaultimate.org Email: Tel: 719-219-8322x133