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2022-2023 YBOC Coach
Position Applying
Boy's Head Coach - Basketball
Girl's Head Coach - Basketball
Head Coach - Cheer
Boy's Assistant Coach - Basketball
Girl's Assistant Coach - Basketball
Assistant Coach - Cheer
Division
REC
SELECT
CHEER
Grade Level
K
1
2
3
4
5
6
7
8
Head Coach or Team Name
If you are applying as an assistant, list head coach or team name (if known).
Do you authorize a background check?
YES
NO
COACHES INFORMATION
First Name
Last Name
Team Name
Team name if known
Phone
Email
NAYS Member Number
Leave blank if you have not completed your NAYS certification yet.
NAYS Member Expiration
Leave blank if you have not completed or renewed your certification yet.
Birthday
Address
City
Do you have a valid driver's license?
YES
NO
Driver's License State and Number
Enter state and license number.
Occupation/Employer
SSN #
xxx-xx-xxxx
Criminal History
YES
NO
Do you have pending charges, been convicted of, or plead guilty to any crime(s)?
Criminal History
If YES, describe each charge in full.
Do you have children participating in YBOC?
If YES, list name and grade of all children participating.
Coaching Experience
List all coaching experience including type of sport, age, level, dates, and city or town where you coached.
Working with Children or Youth
List any activities (other than athletics) in which you have been involved in working with children or youth.
Participation Refusal
Have you ever been refused participation as a parent or coach in any youth programs? If YES, explain.
Three References
List name and phone number of three references (other than spouse or family members).
Why do you want to coach for YBOC?
Coaching Philosophy
Briefly describe your coaching philosophy.
Comments
Additional information or comments.
Signature
By typing your name, you authorize investigation of all statements contained herein and affirm all information is correct.
Waivers
Background Check Authorization
"I authorize investigation* of all statements contained herein and all information concerning previous coaching assignments and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from the information furnished."
The position of Head Coach or Assistant Coach, is an appointed position upon the approval of the Board of Directors of Roger County Sports and/or Youth Basketball of Claremore and any person approved and designated as such will hold that position for no definite period of time and may regardless of the date of approval of position, be terminated at any time without prior notice for whatever reason(s) the Board of Directors deems necessary.
*Please note: All applicants will be subjected to a background check.
NOTE: Rogers County Sports and Youth Basketball of Claremore will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, or disability.
I agree
Please enter your initials to approve this waiver
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