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FIRST TOUCH SOCCER

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					                           FIRST TOUCH SOCCER
                                  (Codiac Soccer Inc.)

                               Coaches Application Form

Personal Information                                                     References (2 minimum)

Last Name __________________                                    Name _______________________
Given Name _________________                                    Relationship __________________
Mailing Address __________________________                      Phone _______________________
City ____________________________________
Province ________ Postal Code ______________                    Name________________________
Residence Phone ( ) ______________________                      Relationship __________________
Business Phone ( ) ________________________                     Phone _______________________
Cellular Phone ( ) _________________________
Email Address _____________________________

Preferred Coaching Position

U12 ____Boys ____ Girls
U14 ____Boys ____ Girls
U16 ____Boys ____ Girls
U18 ____Boys ____ Girls

Coaching Certifications
_______________________________________________________________________
________________________________________________________________________
________________________________________________________________________


Accomplishments/Awards
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Other Leadership Experiences
_______________________________________________________________________
________________________________________________________________________

Previous Coaching Experiences

Year _____ Team/Association _______________________________              Position ______________
Year _____ Team/Association _______________________________              Position ______________
Year _____ Team/Association _______________________________              Position ______________


___________________________________ Date ________________
  Applicants Signature
                                           Date Received ____________________

				
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posted:3/22/2010
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