DYESS Youth Sports Coaches Application

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1 DYESS Youth Sports Coaches Application Please circle ONE: Head Coach Assistant Coach SPORT(S): NAME: RANK: PLAYING EXPERIENCE (YEARS): COACHING EXPERIENCE (YEARS): PRIMARY PHONE: SECONDARY PHONE: ADDRESS: Street City State Zip Code WORK HOME DATE OF BIRTH: WILL YOU COACH YOUR CHILD? YES or NO PREFERRED AGE GROUP (Circle all that apply): T-SHIRT SIZE (Circle ONE): S M L XL 1X 2X 3X Have you ever received any training on child abuse and neglect? YES NO Have you had any experience coaching children or youth? YES NO Have you received coaching training w/ National Alliance for Youth Sports (NAYS)? YES NO Have you received training in CPR and First Aid? YES NO MANDATORY REFERENCE CHECKS: Name (First & Last) Phone Number Years Known Relationship Name (First & Last) Phone Number Years Known Relationship (THIS FORM IS SUBJECT TO THE PRIVACY ACT OF 1974)

2 DYESS YOUTH SPORTS VOLUNTEER COACH POSITION DISCRIPTION TITLE: Volunteer Coach for the Dyess Youth Sports Program DESCRIPTION: Coach of a youth sports team between the ages of 3 thru 18 years of age. You will be considered a role model for all athletes assigned to your team; therefore, sportsmanship, fair play, adherence to all rules and by-laws, and 100% commitment are required. RESPONSIBILITIES: Plan, organize and implement practices and games. Direct assistant coaches and team parents. Teach the young athlete the fundamentals of the sport. Encourage the involvement of the parent(s) in the sport. Schedule and conduct necessary meetings (parent meeting, end of season activities, etc.) Provide a safe and fun environment for the children. Learn and follow league rules, policies, and procedures. Ensure equal playing time for each participant. Put the feelings of the participants ahead of your desire to win. Attend all league meetings and trainings. QUALIFICATIONS: Successfully complete all necessary paperwork (application packet and background checks). Attend any scheduled coaching interviews or meetings. Successfully complete the NYSCA coach s certification training prior to sport season. Be able to put winning in its place, after the needs and wants of the players. Be patient, organized, dependable and enthusiastic. INFORMATION: As a volunteer coach of the Youth Sports Program, you are treated by local, state and federal law as being an unpaid employee of the agency with which you are associated; therefore, you must conduct yourself in the same manner as you would your own job. In the same respect, you will receive the same treatment, aside from compensation and benefits, as the employees of the Dyess Youth Sports Program and adequate training to make your experience as a volunteer coach an enjoyable one. I certify that I have read and understood the above job description for a youth sports volunteer coach and accept the terms of the job description. Printed Name Signature Date Please note: Failure to sign this page will render the application incomplete and unacceptable.

3 DYESS YOUTH SPORTS COACHES RESPONSIBILITES Take time to review your coaches training guide Complete inspection checklists as needed Keep accurate attendance Keep team rosters with you at all times Ensure playing time for each child is equal and fair Be accountable to your participants and their parents Arrive to practices/games at least 15 minutes early Learn emergency procedures Start and end practices on time Hold team meetings as needed Communicate with team parents and Youth Sports Director regularly Our goal is to introduce the children to the sport in a positive way by making it fun and rewarding while allowing maximum participation for each child. All coaches should influence the participants through instruction, skill refinement, example and patience. Our hope is to instill lifelong leisure skills that will allow our youth to live healthy and physically fit lifestyles while enjoying the game. I certify that I have read and understood the above coaches responsibilities. Printed Name Signature Date Please note: Failure to sign this page will render the application incomplete and unacceptable. CERTIFICATION OF COACHES All youth sports volunteer Coaches must be certified under the National Alliance for Youth Sports (NAYS). Each Coach attends twelve (12) hours of valuable training. Upon completion of this course, you will be certified as a NAYS Member Coach for one (1) year. All Head Coaches training costs are covered by the Youth Center. You may elect to continue membership and benefits with NAYSA after one (1) year by re-signing your conduct pledge, completing a short refresher training and paying the annual fee of $20. NOTE: Coaches desiring to be certified in an extra sport must attend NAYSA training in that sport and must pay an additional fee of $5. If you would like further information on the NAYSA program, contact the Youth Sports and Fitness Director at or go to

4 DYESS YOUTH SPORTS CHILD, DRUG AND ALCOHOL STATEMENT EMPLOYEE/VOLUNTEER: I,, have never been arrested or convicted (Print Name) of any crime involving children, drugs or alcohol. I also understand if a situation arises after initial hire that prevents me from signing this statement annually, I could receive disciplinary action including removal from my position. CALENDAR YEAR EMPLOYEE/VOLUNTEER SIGNATURE DATE WITNESS SIGNATURE

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