Coaches Application Name(Required) First Last Which sport?FootballCheerThis application Is for (Pick One )(Required) Head Coach Assistant Coach Team Mom Preferred Age Group for 2025(Required) 6U 7U 8U 9U 10U 11U 7th Grade Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Email(Required) Coaching ExperiencePlease list any previous coaching experience, including sport, age group, and organization. If new to coaching, describe any relevant leadership or mentoring experience.Years of Experience Coaching(Required)What sports have you Coached in the past?(Required)Safety & Certification TrainingHave you ever received any training on Child Abuse and Neglect?(Required) Yes No Are you familiar with present day laws on Child Abuse and Neglect?(Required) Yes No Have you received CPR training in the past 2 years ?(Required) Yes No Have you received First Aid training in the past 2 years ?(Required) Yes No Have you received concussion training in the past 2 years ?(Required) Yes No Mandatory Reference Checks (3)(Required)Name and Phone #Name and Phone #Name and Phone # Add RemoveT-Shirt Size(Required)Adult X-SmallAdult SmallAdult MediumAdult LargeAdult XLAdult XXLHoodie Size(Required)Adult X-SmallAdult SmallAdult MediumAdult LargeAdult XLAdult XXLCommentsPlease let us know what's on your mind. Have a question for us? Ask away.Youth Coach Certification & Background Check Agreement(Required)I understand, as a youth coach, I will be required to take an online class certification for Child Abuse and Neglect and a background check will be completed by MCYA to ensure my suitability for youth Coaching.Volunteer Eligibility & Criminal History Statement(Required)I have never been arrested or convicted of any crime involving domestic violence, children, drugs, or alcohol. I also understand if a situation arises that prevents me from sighing this statement, I will be ineligible to volunteer in MCYA youth programs.Youth Coach Volunteer Agreement & Consent(Required)By signing below, I acknowledge and consent to the following: ✅ I will complete the required Child Abuse & Neglect Prevention online certification. ✅ I consent to a background check conducted by MCYA to ensure my suitability for working with youth. ✅ I confirm that I have never been arrested or convicted of any crime involving domestic violence, children, drugs, or alcohol. ✅ I understand that if my eligibility changes, I will be disqualified from volunteering in MCYA youth programs. ✅ I agree to uphold the highest standards of sportsmanship, safety, and mentorship while coaching. By signing, I confirm that I understand and accept the terms of this agreement. I, agree to serve as a volunteer coach for MCYA and understand the responsibilities and expectations associated with this role.Signature(Required)CAPTCHA
