Neptune Soccer Association

Coaches Application

Name:_______________________________________     Date:____________________________

I am interested in coaching the following team:

Age Group:___________________                           Boys:________        Girls:________

Coaches License Level:________________

In the event there is more than one applicant for this position:

I would / I would not    (circle one) be willing to be an assistant coach.

I am aware of the Rules and Regulations for Traveling teams in the Neptune Soccer Association and will abide by said rules as a condition for continued consideration as a coach.

I am a member in good standing of the Neptune Soccer Association.

My soccer background is as follows:

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If selected as a coach, I plan to appoint________________________________________as the assistant coach.

Assistant Coach  Head Coach

Name:_______________________                                        Name:_____________________________

Address:_____________________                                        Address:___________________________

____________________________                                        __________________________________

Phone#:_____________________                                           Phone #:___________________________

Email:_______________________                                         Email:_____________________________

Applicant's Signature:____________________________________________________________