2008 WCRA Football Coach / Cheer Advisor Application Form

When you complete and submit the form, the link will ask you to "Return to the Form".

Click "Return to the Form", then Click here.

APPLICATION FOR:

Head Football Coach             Head Cheer Advisor

Assistant Football Coach      Assistant Cheer Advisor

Grade Level

(Bantam, 3rd Grade, 4th Grade, 5th Grade, 6th Grade)

PERSONAL

NAME:

ADDRESS:

CITY:     STATE:     ZIP:

HOME PHONE:     WORK PHONE:

EMAIL:     SSN:

DRIVER'S LICENSE NUMBER:

REFERENCES (list 3 not related)

REFERENCE 1:

REFERENCE 2:

REFERENCE 3:

EMPLOYMENT HISTORY

PRESENT EMPLOYER:

NAME OF SUPERVISOR:

ADDRESS:

CITY:     STATE:     ZIP:

DATES OF EMPLOYMENT:

* PROOF OF AUTOMOBILE INSURANCE IS REQUIRED TO MEET OHIO STATE MINIMUM REQUIREMENTS.

HAVE YOU EVER BEEN ARRESTED, CHARGED OR CONVICTED OF A CRIME TO INCLUDE BUT NOT LIMITED TO DUI, OTHER ALCOHOL RELATED OFFENSES, MISDEMEANOR OFFENSES AND ALL FELONIES? IF YES, EXPLAIN:

HAVE YOU EVER BEEN INVOLVED IN AN INCIDENT INVOLVING CHILD ABUSE OR NEGLECT? IF YES, EXPLAIN:

HAVE YOU EVER HAD OR DO YOU HAVE A PROBLEM WITH DRUGS AND/OR ALCOHOL? IF YES, EXPLAIN:

REASON FOR WANTING TO VOLUNTEER:

WHAT INTERESTS YOU ABOUT THIS POSITION?:

WHAT EXPERIENCE DO YOU HAVE WORKING WITH CHILDREN?:

LIST THE SPORTS YOU HAVE COACHED:

LIST ANY FORMAL TRAINING YOU HAVE RECEIVED IN COACHING:

LIST ANY FORMAL TRAINING YOU HAVE RECEIVED IN FIRST AID:

LIST ANY FORMAL TRAINING YOU HAVE RECEIVED IN TEACHING CHILDREN OR PARENTING:

WHAT ARE YOUR PLANS FOR AN EDUCATIONAL AND RECREATIONAL YEAR FOR THE CHILDREN OF WCRA?:

AS AN APPLICANT, I REALIZE THAT A BACKGROUND CHECK WILL BE CONDUCTED ON ALL COACHES AND ADVISORS AND THEREBY WAIVE ANY AND ALL PRIVACY RIGHTS PURSUANT TO OHIO AND FEDERAL STATUTES. BY SIGNING THIS APPLICATION, I AGREE TO ALLOW THE WCRA TO CONDUCT THIS CHECK. I ALSO AGREE THAT IN THE EVENT OF AN UNFAVORABLE FINDING, I WILL NOT BE CONSIDERED FOR THE POSITION APPLYING FOR.

BY APPLYING FOR SAID POSITION I HEREBY UNDERSTAND THAT THERE EXIST NO APPEAL RIGHTS IF I AM NOT SELECTED.

TODAY'S DATE:

SIGNATURE / SUBMISSION: