ࡱ> NPOq` %bjbjqPqP ..::%"<+hjjjjjjjjB+D+D+D+D+D+D+$+-h/h+jjh+jj}+nnn.jjB+nB+nnr)T*j^ @MZv.*B++0+<*00*0*hj^n Rjjjh+h+Xjjj+  MARVIN RIDGE MIDDLE SCHOOL VOLUNTEER COACHING APPLICATION POSITION APPLYING FOR:_____________________________________________ Position Sport Grade NAME: ________________________________________________________________ Last First Middle ADDRESS: _____________________________________________________________ Street City Zip Code HOME PHONE:______________________ CELL PHONE:________________ WORK PHONE:______________________ E-Mail:_______________________ List sports in which you participated as a high school student: List sports in which you participated as a college student: List coaching experience(s)- include win/loss record, championships and coaching honors received: Year Title/Position School/Organization Win/Loss What additional athletic experiences have you had that enhance your capabilities as a coach: Outline, briefly, your philosophy of middle school athletics: Explain those factors that you feel are most important to a quality athletic program: List 3-5 references who are knowledgeable of your coaching qualifications: Name Title Phone E-Mail 1. 2. 3. 4. 5. Additional Information Please use all or part of the space below to give whatever additional information you would like to share about yourself. This information could be a short autobiography, additional information regarding your cultural and educational background, your preparation, experience, interests and hobbies, plans, recreational activities, or experiences with children in church, community, camp, or other activities. Please feel free to elaborate on information already given elsewhere in this application. I have read the information contained in this application carefully and certify that the information I have given is correct and complete. I understand that if I am selected for this volunteer position, false statements on this application shall be considered sufficient cause for dismissal. Date ___________________ Signature _______________________________ Marvin Ridge Middle School is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, disability, or national origin. Thank you for your interest in working with the students of Marvin Ridge MS. AUTHORITY FOR THE RELEASE OF INFORMATION I authorize the Union County Board of Education to perform a criminal records check in connection with my volunteer position in the Marvin Ridge Middle School Athletic Department. (PLEASE PRINT OR TYPE) _______________ ______________ ____________ ____________ Last Name First Name Middle Maiden _______________ ______________ ____________ ____________ Social Security Number Date of Birth Sex Race I understand that my volunteer position with Marvin Ridge Middle School is contingent upon an acceptable criminal records check and the approval of the Union County Board of Education. ______________________________________ ________________________ Applicants Signature Date ***IMPORTANT*** Please list below all the states in which you have lived or worked: From: ______ To: ______ City: __________ County: __________ State: ______ From: ______ To: ______ City: __________ County: __________ State: ______ From: ______ To: ______ City: __________ County: __________ State: ______ From: ______ To: ______ City: __________ County: __________ State: ______ From: ______ To: ______ City: __________ County: __________ State: ______ From: ______ To: ______ City: __________ County: __________ State: ______ <=T{ A G S T e q & ' ) * G g h i j l m ֲַַַַַڜژڄh h?h?5hqh?5h?h?hq5 hThqY hThg6 hg65hqY hqY5hqYCJ aJ hqhqY hqhqhg6hq hq5hq5CJ aJ hqY5CJ aJ hThqYCJ aJ 3<=>  H d e ' ( ) * + , gd? & FgdqgdqYgdq$a$gdqY%, h i j k l m           n o p gdLg & Fgd gd ^gd gd? & Fgd?  m n \ ] ^ b e j m r u { | E #ž稤眘{ h{|5 hbQ5h{|hbQhL hL5>*hqYhqhq5hq hLghLghh5>* h5 h5>*hhhLg5>*hLghLg5>*hLgh 5>*hLg h 5 h 5>*h hq5-p q r      ] ^ | } `gd?^gdLg^gdgd & FgdLggdLg gdqY`gd?^gdLg#$% !"#L$a$gdbQgdqY#KLMTU _#$% hqYhqY hB7 huDhuD hB7 5 hB7 6hB7 hm h2)6 h{|6 hm6hbQ5CJ aJ hm5CJ aJ LMU}~ ^_gdB7 $a$gdB7 $a$gdmgdm$a$gdbQ?@ !$%gdqYgdB7 ,1h/ =!"#$% @@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No ListHH  Balloon TextCJOJQJ^JaJ%.<=>Hde'()*+,hijklm     nopqr  ]^|}#$%      ! 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