Youth Sports Coach Application

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coaching basketballApply To Be A Coach

Volunteers make our youth sports program possible. Please join us in providing a positive and fun-filled sports experience for the children our community. All volunteers who provide direct service to children must pass a federal background check. Upon completion of a successful season, head volunteer coaches will receive a credit to use towards future City program. Don’t wait…fill out your volunteer application now so you are ready to start right along with the team! For coaching information call Erin Fort at (623) 349-6357.

Please correct the field(s) marked in red below:

Your Information
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Your Information
Phone Number
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Phone Number
Address
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Address
Email
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Date of Birth
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Drivers License Number
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Fingerprint Clearance Card: If YES please submit a copy
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Fingerprint Clearance Card: If YES please submit a copy
Please submit a copy of your Fingerprint Clearance Card (if you have one) below:
Season/Year Interested in Coaching?
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Season/Year Interested in Coaching?
Residential Elementary School (Nearest Public School to Your Home)
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What sport and division are you interested in coaching?
What sport and division are you interested in coaching?
Mini (age 4) Pee Wee (ages 5-6) Midgets (ages 7-8) Rookie (ages 9-10) Junior (ages 11-12) Elite (ages 12-14)
Soccer
What sport and division are you interested in coaching?
What sport and division are you interested in coaching?
Pee Wee (ages 4-5) Midgets (ages 6-8) Rookie (ages 9-11) Junior (ages 12-14)
Flag Football
What sport and division are you interested in coaching?
What sport and division are you interested in coaching?
T-Ball (ages 4-5) Coach Pitch (ages 6-8) Kid Pitch (ages 9-11) Fast Pitch (ages 12-14)
Baseball
What sport and division are you interested in coaching?
What sport and division are you interested in coaching?
Midget (ages 7-10) Rookie (ages 11-14)
Softball
What sport and division are you interested in coaching?
What sport and division are you interested in coaching?
Mini (age 4) Pee Wee (ages 5-6) Midgets (ages 7-8) Rookie (ages 9-10) Junior (ages 11-12) Elite (ages 12-14)
Basketball
Please select the position you are interested in coaching:
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Please select the position you are interested in coaching:
 
Please summarize your previous coaching experience (Buckeye or other)
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List any other experience you have volunteering with youth organizations
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Are you CPR/First Aid certified?
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Are you CPR/First Aid certified?
Have you ever been arrested or convicted of a crime, including those that were set aside or expunged? "Crime means all felonies, misdemeanors, and serious offenses. Examples include but are not limited to DWI/DUI, possession, reckless driving and criminal traffic offenses, etc.* Yes No If yes, please explain
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Have you ever been arrested or convicted of a crime, including those that were set aside or expunged? "Crime means all felonies, misdemeanors, and serious offenses. Examples include but are not limited to DWI/DUI, possession, reckless driving and criminal traffic offenses, etc.* Yes No If yes, please explain
By checking this box I consent to have a background check which may include fingerprinting. I certify that all information on this form is true to the best of my knowledge, and any omissions or misstatements of facts may be cause for rejection of this application or discharge from City service. I also authorize the City of Buckeye to make all necessary and appropriate investigations allowable by law to verify the information provided. It is my responsibility to keep the Community Services Department advised about any changes of address, phone number or criminal record.* I consent The City of Buckeye will contact you regarding your application once the application has been reviewed. Thank you for volunteering with the City of Buckeye Youth Sports Program!
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