Youth Sports Volunteer Coach Application

Volleyball

ALL ITEMS MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED

Please check: ______Head Coach ______Assistant Coach

Please circle the grade level you are applying to coach: 4/5 6 7/8

Name: ______

First Middle Last

Address: ______

Street City State Zip

Home Ph: ______E-mail: ______

Cell Ph: ______

Child’s Name: ______Child’s School: ______

Preferred practice day(s), pick 2

Monday / Tuesday / Wednesday / Thursday / Friday

Days unavailable

Monday / Tuesday / Wednesday / Thursday / Friday

Preferred practice time: 6-7:30 p.m. 7:30-9 p.m.

(please circle one)

If signing up as a Head coach, please complete the following if you have an Asst in mind:

Asst Coach Name: ______Child’s Name: ______

Ph: ______Child’s School: ______

If you have coached HV Rec Volleyball in the past, please skip to #6

#1 Please list / describe any coaching and teaching experience or training.

#2 Please write a few sentences regarding your philosophy on coaching youth sports.

#3 Reason for wanting to volunteer?

#4 What interests you about this position?

#5 List any formal training you have received in first aid.

Yes
No

#6 Have you ever been arrested, charged or convicted of a crime?

If yes please explain details.

Yes
No

#7 Have you ever been involved in an incident involving child abuse or neglect?

If yes please explain details.

#8 Have you completed the CDC Concussions in Youth Sports training for our department? Yes____ No____

·  If no, please visit their website at: http://www.cdc.gov/concussion/HeadsUp/online_training.html

Complete the “Youth Sports Training” video and attach a copy of the certificate to your coaches application. HVRec strongly believes in the benefits of participation in organized sports. Participation in sports has proven to build self-esteem, promote teamwork, develop the body as well as the mind, and is an integral part of the maturation process. Therefore, the HVRec mission is to provide a youth sports program oriented toward providing a healthy recreational and social learning experience for children, with emphasis being placed on fun and sportsmanship rather than competitive attitudes.

Signing or initialing below indicates that you will uphold the HVRec youth sports Philosophy.

Signature / Date

You will be contacted after registration for your sport closes.

Please complete and turn into HVRec via one of the following options. Fax: 248-676-8453,

E-mail to ,or mail / hand-deliver to: 2029 N. Milford Rd., Highland 48357.

HVRec

www.huronvalleyrec.com

For Office Use Only:
Date Received in HVRCE Office: / Date Processed:
Accepted : / Yes: / No: