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| Personal Information |
| 1. Name:* |
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| 2. Address: |
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| 3. City:* |
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| 4. State:* |
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| 5. Zip Code* |
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| 6. Phone:* |
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| 7. Email |
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| Position Request |
| 8. What Position are you applying for?* |
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| 9. Age Group |
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| 10. Do You Have Any Football Coaching Experience?* |
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| 11. If yes, how many years? |
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| 12. Have you coached in any other GFL programs?* |
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| 13. If yes, what program(s)? |
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| 14. Have you coached in any other sports other than Football? (Check all that apply) |
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15. Please list any pertinent information which you believe qualifies you for consideration as a coach in the NGFA. (255 char max) |
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| 16. Have you coached in any other Football related activities or sports? (Flag Football, Passing League, etc.)* |
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17. If yes, what program(s)? Please explain your involvement. (255 char max) |
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| 18. Do You Have Any Children who will be participating in the NGFA program during the upcoming season? |
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19. If yes, please enter your child(s) names and age groups for the upcoming season. (255 char max) |
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| 20. Assistant Coach /Phone or Email: |
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| 21. Assistant Coach /Phone or Email: |
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| 22. Assistant Coach /Phone or Email: |
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| 23. Assistant Coach /Phone or Email: |
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| 24. Assistant Coach /Phone or Email: |
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| 25. Assistant Coach 8th Grade/Phone or Email: |
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| 26. Assistant Coach 8th Grade/Phone or Email: |
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| 27. Assistant Coach 8th Grade/Phone or Email: |
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| 28. Assistant Coach 8th Grade/Phone or Email: |
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| 29. Assistant Coach 8th Grade/Phone or Email: |
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| 30. Assistant Coach 8th Grade/Phone or Email: |
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| 31. Assistant Coach 8th Grade/Phone or Email: |
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| 32. Assistant Coach 8th Grade/Phone or Email: |
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| 33. Assistant Coach 8th Grade/Phone or Email: |
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| 34. Assistant Coach 8th Grade/Phone or Email: |
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| 35. Trainer /Phone or Email: |
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| 36. Trainer 8th/ Phone or email |
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| 37. If you are applying as an Asst. Coach do you have a HC you would prefer to assist with? |
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| 38. If yes, which coach do you want to assist with? |
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| Background Information |
| 39. Have you ever been convicted of a felony?* |
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40. If yes, please specify the offense, the date of the conviction, and the court in which you were convicted. (Note: Confidetial) (255 char max) |
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| 41. Have you ever been banned from Coaching in any Youth Sports program?* |
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42. If yes, please explain: (255 char max) |
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| AUTHORITY TO CONDUCT BACKGROUND CHECK / Terms of Service |
| 43. I agree to the Authority to Conduct Background Check and the Terms of agreement listed above. |
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| 44. I understand that completion of this form does not guarantee a coaching position in the NGFA. |
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| 45. You must entering Your Name in this box which accurately represents your signature.* |
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| Thank You for Applying. |