MANAGER/COACH’S APPLICATION

B.I. Fee Application Fee

Paid______Paid

  1. INFORMATION TO BE PROVIDED BY ALL COACHES/MANAGERS:

Full Name: D.O.B. Home Phone:

Address Work Phone:

City/State: Zip Code:

Emergency Phone: E-mail:

Are there any restrictions on calling you at work?

Do you have a son(s)/daughter(s) in the program? If yes, state ages.

In what league are you applying to coach? Baseball: T-Ball Machine Pitch 7/8 9/10 11/12 13/14

(Circle one)

Softball: T-Ball Machine Pitch 7/8 9/10 11/12 13/14

Do you have a sponsor? If yes, who?

Are you available for the entire summer? If no, explain.

Have you had Red Cross training? If yes, is your certification current?

NOTE: IN SIGNING THIS APPLICATION YOU ARE AGREEING TO ABIDE BY THE BYLAWS OF BOSSIER DIXIE BASEBALL, INC., THE DECISIONS OF THE EXECUTIVE COMMITTEE, BOARD OF DIRECTORS, AND COMMISSIONERS. YOU MUST HAVE ALREADY READ THE BYLAWS PRIOR TO SIGNING THIS FORM.

  1. FOR RETURNING MANAGERS AND COACHES:

What team and in what league did you coach?

Is your sponsor secure for this year? Name:

  1. FOR NEW APPLICANTS:

Previous experience in managing or coaching in sports programs, including church, YMCA,BPAR, or other community programs:

  1. Name, address and phone number of two personal references:

Have you ever pled guilty or been convicted of any crime?

If yes, explain:

NOTICE TO APPLICANTS

By submission of this application, the undersigned applicant authorizes Bossier Dixie Baseball to request and obtain a criminal background investigation to determine whether applicant meets the coaching criteria of Dixie Youth Baseball, Inc., Dixie Boys Baseball, Inc., and Dixie Softball, Inc. Bossier Dixie Baseball and the applicant will be notified if the applicant fails to meet said criteria. Applicant hereby consents to this process and agrees that the above Dixie organizations, Bossier Dixie Baseball, and their respective officers, directors and agents shall be immune from liability as a result of this process.

V. PHILOSOPHY (Must be completed for the application to be considered)

Our goal is to provide a baseball program that gives all youth in its boundary the opportunity to play the great national pastime while providing the best adult leadership available. The role of the managers and coaches include not only instruction in playing skills, but by example, teaching the importance of hard work, self-discipline, courtesy, dignity, and good sportsmanship

Applicant’s Signature Date