2010 REP/BOX COACHING APPLICATIONS

2009-10-13

Deadline for rep box and field coaching applications is October 31, 2010. Application form attached.

MIMICO MOUNTAINEERS 2010  REP COACHING APPLICATION FORM

 

Name:________________________________________________________________

ADDRESS:____________________________________________________________

EMAIL:_______________________________________________________________

HOME PHONE:__________________________ Cell:_________________________

 

Team Applying for: _________________________2^nd Choice:___________________

 

Coaching Certification BOX:          Theory 1_______ Technical 1:______

(check all that apply)                           Theory 2 ______ Technical 2:______

 

Coaching Certification FIELD:       Theory 1 ______ Technical 1: ______

(check all that apply)                           Theory 2: ______ Technical 2: ______

 

Previous Representative Coaching Experience:

 

Age Level: ________________________ Team Level:_______________                        

Position:__________________________ Year:________________________

 

NCCP #: ______________________________

 

Other pertinent coaching experience:_______________________________________

 

 

Do you potentially have a child playing at this level? Yes______ No ______

 

Do you have prospective coaching staff in place? Yes______ No ______

 

Name ______________________ Position___________________________

Name ______________________ Position___________________________

Name_______________________Position___________________________

 

References:

 

Name ______________________ Phone Number_____________________

Name ______________________ Phone Number_____________________

Name ______________________ Phone Number_____________________

 

 Please give a brief description of your coaching philosophy as it pertains to lacrosse:

(you may attach a sheet, if you wish)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please give a brief description of your season plan:

(you may attach a sheet, if you wish)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  

 

Date:____________________ Signature:___________________________________

 

Please return this application form before October 31^st 2009

 Mail or e-mail to:

John Robinson

2428 Coppersmith Court

Mississauga, Ont L5L 3B5

905-608-1046(H)

416-347-4607 (C)

jrob11@sympatico.ca