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2010 Football Coaches Application
2010 Football Coaches Application 
 
 Form 
PERSONAL INFORMATION
Please complete the following personal contact information to apply for any Coaching Position.
1.  Name*
2.  Address
3.  City
4.  State*
5.  Zip Coode*
6.  Phone*
7.  Email
POSITION REQUEST
8.  What Position are you applying for?*
9.  Age Group*
10.  Do You Have Any Football Coaching Experience?*
Yes
No
11.  If yes, how many years?
12.  Have you coached in any other GFL programs?*
Yes
No
13.  If yes, what program(s)?
14.  Have you coached in any other sports other than Football? (Check all that apply)
Baseball
Basketball
Lacrosse
Soccer
Wrestling
Other
15.  Have you coached in any other Football related activities or sports? (Flag Football, Passing League, etc.)*
Yes
No
16.  If yes, what program(s)? Please explain your involvement.
(255 char max)
17.  Please list any pertinent information which you believe qualifies you for consideration as a coach in the LAA
(255 char max)
18.  Do You Have Any Children who will be participating in the LAA program during the upcoming season?
Yes
No
19.  If yes, please enter your child(s) names and age groups for the upcoming season.
(255 char max)
20.  If you are applying as an Asst. Coach do you have a HC you would prefer to assist with?
Yes
No
21.  . If yes, which coach do you want to assist with?
BACKGROUND INFORMATION
22.  Have you ever been convicted of a felony?*
Yes
No
23.  If yes, please specify the offense, the date of the conviction, and the court in which you were convicted. (Note: Confidential)
(255 char max)
24.  Have you ever been banned from Coaching in any Youth Sports program?*
Yes
No
25.  If yes, please explain:
(255 char max)
AUTHORITY TO CONDUCT BACKGROUND CHECK / Terms of Service
As a volunteer applicant for the LAA, I understand that I must submit a MANDATORY BACKGROUND CHECK FORM and I authorize a complete background investigation to determine my qualifications to participate as a youth volunteer in the Lanier Athletic Association. I understand that said background investigation is being conducted solely for the purpose of protecting the children in the program, and that all information will remain confidential in accordance with the law. I understand that misrepresentation or omission of facts is just cause for non-appointment as a volunteer. If I am appointed as a volunteer coach or assistant coach, I agree to abide by the Code of Conduct of the Lanier Athletic Association as well as the Gwinnett Football League. I also agree to fulfill my volunteer responsibilities to the best of my ability. I may be dismissed at any time during the season for failure to comply with any part of this agreement.
26.  I agree to the Authority to Conduct Background Check and the Terms of agreement listed above. Please enter your name in this box which represents your signature.*
27.  I understand that completion of this form does not guarantee a coaching position in the LAA.*
Yes
No
28.  By signing your name you are authorizing the LAA to talk with former associations, asst. coaches, players, and parents in your coaching past. Please enter your name in this box which accurately represents your signature.*
THANK YOU FOR APPLYING
The LAA appreciates your willingness to volunteer to mentor the young children in our community. We hope you'll actively participate in our program regardless of whether you are selected as a coach or not. You may be contacted regarding your application for follow up information or interview request in order for the LAA Board to best determine the highest quality coaches for our Association. Thank you again for your willingness to Volunteer. HOOK’EM HORNS!
* required field     
 

 

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