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WYFFL Coaching Application - 2010

W.Y.F.F.L, P.O. Box 689 Holden, MA 01520

Must be accompanied by a completed volunteer application, a completed CORI form and a photo copy of a current drivers license or passport

Click here for the

CORI form

Please print clearly:

Full Legal Name:

Date of Birth:

Address:

Phone:

 Email:

Child(ren) in Football     

 Age as of 9/1/10            Grade as of 9/1/10

1.

2.

3.

Desired Coaching Position

Head Coach at: 

Kindergarten, 

Instructional,

Freshman, 

Juniors, 

Seniors

Assistant Coach at:

Kindergarten, 

Instructional, 

Freshman, 

Juniors,

Seniors

If Assistant Coach position desired, as assistant to:

2009 Head Coach

2009 Team

Coaching Experience

Football: 2009 League:

   Head Coach   or   Assistant Coach?

2008 League:

   Head Coach   or   Assistant Coach?

Other:

Other sports (# years, levels):

Place of Birth:   

Mother’s Maiden Name: 

Gender:    M       F    

Height:          Ft.             In                   Weight:

Eye Color:

I hereby apply to WYFFL. for a coaching position for the 2010 season. If appointed, I agree to abide by the coaching rules & Criteria set forth by WYFFL. I authorize WYFFL to order a criminal record (CORI) check for conviction and pending criminal information from the Criminal History Systems Board and from any other reporting service available.      I understand that my failure to truthfully and completely answer all questions on the Volunteer Application may be grounds for disqualification from coaching.

Applicant Signature:

Date:

Mail completed form to:    W.Y.F.F.L, P.O. Box 689 Holden, MA 01520    by 5/31/2010

Appointment:  Yes ______No ______