Coach Application Form

APPLICANT:

First Name *

Last Name *

Address *

City *

Home Phone# *

Cell Phone# *

Email Address *

Alternate Email Address

COACH POSITION REQUESTED:

Age Group *
8U9U11U13U15U18U

Tier *
AAAAAACollege Prep

COACHING QUALIFICATIONS:

NCCP #

NCCP Certification Level

Other

BASEBALL COACHING EXPERIENCE:

Please give a brief statement as to your most recent 3 years of coaching experience?

GOALS:

What are your main objectives (goals) for 2024 season?

NOTES:

Notes: (Request to assistant coach, etc)

MEDICAL:

Any Medical Conditions? If so, please list.

REFERENCES:

Ref 1: Name

Ref 1: Phone#

Ref 2: Name

Ref 2: Phone#

Ref 3: Name

Ref 3: Phone#

RESUME AND SALARY EXPECTATIONS:
Fill in the resume and salary expectations fields only if you are applying to be a Head Coach of a 13U AA/AAA, 15U AA/AAA or 18U AAA/College Prep team.

Resume

Salary Expectations

AGREE:

I acknowledge that I am willing to submit to a criminal record check and I give my consent to share my information with the NSBA Board.
YesNo

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