Full Name |
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Birthdate |
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Street Address |
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City |
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Zip Code |
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Home Phone |
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Work Phone |
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Email Address |
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Positions for which you are applying(i.e. head coach, assistant on which coach's staff, which grade, etc.)
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Name(s), Age(s), and Activity of children in MNMYF
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Have Your been convicted of a felony within the past 10 years? Yes No |
If yes, please state for each said
conviction, date of conviction, the offense of which you were convicted
and the court in which you were convicted:
|
Please state in detail your prior
experience that would benefit and assist you in performing your duties
and activities for which this application is made:
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By submitting this information, you
certify that the facts contained in this application are true and
complete to the best of your knowledge and understand that, if
approved, falsified statements will be founds for dismissal. You
authorize investigation of all statements contained herein and all
information concerning previous coaching assignments and any pertinent
information they may have, personal or otherwise, and release all
parties from all liability for any damage that may result from
furnishing same to you. The position of head coach or assistant coach
is an appointed position upon the approval of the board of directors of MNMYF. Any person approved and designated as such will hold that
position for no definite period of time and may, regardless of the date
of approval of position, be terminated at any time without prior notice
for whatever reason(s) the board of directors deems necessary. |
| Date: |
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