Coach Reg Online | Vancleave Youth Foot

2025 Football & Cheer Coaching Application

Position Applying For:

Desired Coaching Level

Name

Address

City/State/Zip

How many years have you lived there?

Date of Birth

Month

Day

Year

Phone

Social Security #:

Do you have any children participating in the program?

Yes

If yes, what is there name and playing level?

Current Employer

Employer Phone:

Employer Address

Years employed:

Please list all leagues/organizations you have worked with, the year you were involved, and the position you held.

Special Certifications (Example: CPR, Medical)

Do you have a valid Driver's License?

DL Number:

State your ID was issued in:

Have you ever been refused participation in any other youth programs?

Have you ever been convicted of a felony?

If yes, provide current legal status:

Have you ever been convicted of a crime involving a minor?

Have you ever pleaded guilty to a crime?

If you answered yes to ANY of the last 4 questions, please explain:

By submitting this application, I affirm that the fact set forth in it are true and complete; I understand that if I am accepted

as a volunteer, any false statements, omissions made by me on this application may result in my immediate dismissal. I also agree to adhere to all rules and regulations set forth by the VYFCL and its affiliates or associations. As condition of volunteering, I hereby grant permission to the VYFCL to conduct a criminal background check which may include, but not limited to employment records/employers references.

Signature:

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