All competitive coach applicants must complete this form and submit or mail to: Ceres Youth Soccer Organization, Attn: Competitive Coach Coordinator, PO Box 804, Ceres, CA 95307.  Deadline is December 31^st.

 

I. TEAM PREFERENCE (please circle):

 

DOL     or     Kaercher League                 Age Group:   U ________                 Boys    or     Girls

 

II. HEAD COACH PERSONAL INFORMATION:

 

Name ________________________________________________________________________

 

Address ______________________________________________________________________

 

Phone (_209_) _______________________ E-mail Address ____________________________

 

How many years have you coached youth soccer? __________

 

How many years have you coached a:  DOL team? __________  Kaercher team? ___________ 

 

Do you have a coaching license?  YES   or    NO   (Please attach a photocopy.)

 

Do you have a current referee license?  YES   or    NO   (Please attach a photocopy.)

 

III.  ASSISTANT COACH PREFERENCE (if known):

 

Name ________________________________________________________________________

 

How many years has he/she coached youth soccer? __________

 

How many years has he/she coached a:  DOL team? __________  Kaercher team? ___________ 

 

Does he/she have a coaching license?  YES   or    NO   (Please attach a photocopy.)

 

Does he/she have a current referee license?  YES   or    NO   (Please attach a photocopy.)

 

I agree that the information provided herein is correct and complete to the best of my knowledge.

 

Signature of Applicant ______________________________________  Date ________________

CERES YOUTH SOCCER ORGANIZATION

Earthquakes - DOL (Division I)/Kaercher League (Division III)

Coaching Application 2009-10 Season