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2025-2026 YBOC Coach
Position Applied
Head Coacch
Assistant Coach
Division
REC
SELECT
INBC TOURNAMENT
CHEER
Grade Level
Kindergarten
1st
2nd
3rd
4th
5th
6th
Other
Do You Authorize a Background Check?
YES
NO
Coach First Name
Coach Last Name
Phone
Email
NAYS Member Number (If known yet)
***IF OSSAA Certified Coach Please enter OSSAA and reach out to your club director for more information
NAYS Expiration (If known yet)
Birthday (MM/DD/YYYY)
Address
City
State
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Federated States of Micronesia
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Postal Code
Do you have a valid driver's license?
YES
NO
Driver's License Issuing State
Driver's License Number
Occupation/Employer
Social Security Number
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 a child(ren) in YBOC?
If YES, list name and grade of each child participating
Coaching Experience (skip if returning)
List all coaching experience including type of sport, age, level, dates, and city or town where coached
Working w/ Children or Youth (skip if returning)
List any activities in which you have been involved in working with children or youth
Participation Refusal (skip if returning)
Have you ever been refused participation as a parent or coach in any youth programs? If YES, explain.
Three References (skip if returning)
List name of three references (other than spouse or family member)
Why do you want to coach? (skip if returning)
Coaching Philosophy (skip if returning)
Briefly describe your coaching philosophy
Comments
Signature (ALL COACHES)
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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