ŠĻą”±į>ž’ FHž’’’E’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’ģ„Į!` šæ&$bjbj\­\­ 46>Ē>Ē ’’’’’’¤¤¤¤¤¤¤¤FTB&B&B&8z&Ž&,š -BĘ&Ę&Ü&Ü&Ü&Ü&Ü&Ü&Ÿ,”,”,”,”,”,”,$b.hŹ0€Å,¤Ÿ)Ü&Ü&Ÿ)Ÿ)Å,¤¤Ü&Ü&Ś,Ÿ*Ÿ*Ÿ*Ÿ)L¤Ü&¤Ü&Ÿ,Ÿ*Ÿ)Ÿ,Ÿ*Ÿ*¤¤Ÿ*Ü&ŗ& Čō©†ĄĘB&ė)@Ÿ*Ÿ,š,0 -Ÿ*J1+*dJ1Ÿ*Ÿ*ŒJ1¤+,tÜ&vR'TŸ*¦'Dź'µÜ&Ü&Ü&Å,Å,*Ü&Ü&Ü& -Ÿ)Ÿ)Ÿ)Ÿ)š š š ž¤ š š š žøT 6B¤¤¤¤¤¤’’’’ HARRISON YOUTH SOCCER CLUB TRAVEL SOCCER COACHING APPLICATION APPLICANT’S NAME: _________________________________________________________ ADDRESS: ___________________________________________________________________ If you have lived at the above listed address for less than five years, please list prior address(es) (use additional page if necessary). HOME PHONE: _______________________________________________________________ WORK PHONE: _______________________________________________________________ E-MAIL: _____________________________________________________________________ TEAM OR GROUP REQUESTED: BOYS or GIRLS (circle one) 1. Work history (last 5 years) Company Position Dates ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Why do you want to coach the Travel Team? (Be Specific) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________   3. Have you played soccer? Yes No ____ Level (i.e. youth, high school, college, club) ________________________________________ Dates played and name of school or program played for: ______________________________________________________________________________ ______________________________________________________________________________  4. What other sports have you played? ______________________________________________ Level (i.e. Youth, High School, College, Club) ________________________________________ Dates played and name of school or program played for: ______________________________________________________________________________ ______________________________________________________________________________ 5. Have you coached soccer? Yes No ____ Level (i.e, youth, club) ___________________________________________________________ Number of years coached and team location and league coached ______________________________________________________________________________ ______________________________________________________________________________ 6. What other sports have you coached? _____________________________________________ Level (i.e, youth, club) ___________________________________________________________ Number of years coached and team location and league coached ______________________________________________________________________________ _____________________________________________________________________________  7. Have you had any formal training as a coach? Yes No ____ If yes, please describe (for example PE degree, coaching licenses, courses, clinics, etc.; attach copies of certificates or licenses.) ______________________________________________________________________________ _____________________________________________________________________________  8. Describe any experience or training that would help you coach (for example, teaching, working with youths, etc.) ______________________________________________________________________________ _____________________________________________________________________________  ______________________________________________________________________________ _____________________________________________________________________________  9. Please rate your knowledge of the following topics with regard to soccer by circling the appropriate number. 1 = You know very little about it 2 = You have reasonably good knowledge about it 3 = You know a great deal about it 1 2 3 Skills and strategies of the sport 1 2 3 Developing sportsmanship 1 2 3 Rules of the sport 1 2 3 Communication skills 1 2 3 Warm-up and physical conditioning 1 2 3 Organizing practices 1 2 3 Injury prevention and treatment 1 2 3 Principles for teaching soccer skills 10. Have you ever received treatment for alcohol or drug abuse? Yes No ____ 11. Have you ever had charges brought against you for child molestation, abuse or neglect? Yes No ____ 12. Do you have any first aid training? Yes No ____ 13. Please list the name, address and telephone number of two persons who know you sufficiently well to comment on your past coaching or your potential as a coach. Name Address Telephone Number ______________________________________________________________________________ _____________________________________________________________________________  14. Have you ever been arrested or convicted of an offense against the Law other than a minor traffic violation? Yes __ No__ If yes, please explain fully on an additional sheet. OTHER COMMENTS: (list other comments that you may consider appropriate) ______________________________________________________________________________ _____________________________________________________________________________  ______________________________________________________________________________ _____________________________________________________________________________  ______________________________________________________________________________ _____________________________________________________________________________  I understand that the Board of Directors will select coaches after considering, among other things, the following: (a)   The interests of the players; (b) The demonstrated ability of the coach to work with children in an orderly and constructive manner; (c)   The performance of the coach, including, but not limited to, the teaching of skills and, directly and by example, of sportsmanship and team play, and the overall degree of fairness and objectivity with which the coach treats all players; (d)   The expressed opinions, positive or negative, of players, parents, referees or other coaches. I also understand that the time commitment required for being a coach in the Harrison Youth Soccer Club includes, but is not limited to, running a practice at least once per week during the season, coaching games on Sundays, regularly communicating with the parents of players and the Club’s Board and taking care of related administrative responsibilities. If accepted for a coaching position, I hereby acknowledge that if appointed I will serve at the pleasure of, and agree to abide by the rules and regulations of, the Harrison Youth Soccer Club. I understand that the information which I have furnished herein is subject to verification, which may include a criminal background check and reference interview. My signature below is my consent to authorize reference interviews and a background check. Date: ______________________ ___________________________ Signature Mail To: Lauren Resnick President, Harrison Youth Soccer Club 14 Bardion Lane Harrison, New York 10528 Or email to lresnick@bakerlaw.com      PAGE 5 >¹ ł  G ¹ “ Ķ ¼ Ź Š Ż ß ā ē wś˜¤«·¹¼ĀTņŁuvw«­°µ<ŚŪÜOķī‹Œüż×ŁÜįBDGLxz}‚Iåęēį}~¹ŗ» $ $ $õļčļčļčļčļßļčļčļčļčļčļßļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčļčÓļĢÄjh»,‘U hŻ(h ShŻ(B*^J_Hph’hŻ(6]^J hŻ(>*^J hŻ(^JhŻ(5>*\^JM>?‹Ųb ® ś H | › ¹  W ¦ õ D “ Ļ  m ¼ ¾ č @wĘ÷÷ņņņźņņņņņņņņņņņņņņņņņņņņņ$a$gdŻ(gdŻ($a$gdŻ( $%$żżĘkĆśI˜ĀT£ņGœŁ(w¶>ÜQ ļ>ż QuśśśśśśśśśśśśśśśśśśśśśśśśśśśśśgdŻ(uvĄų=‘’Óā>Mƒ'I˜ēd™į0Īl».śśśśśśśśśśśśśśśśśśśśśśśśė$¤d¤d[$\$a$gdŻ(gdŻ(.Sŗ° {!>"<#Y#Z#v#€##Š#™#æ#Ļ#č#é# $ $$ććććŪŪŪÖÖɽֽ½½½½½½ø¶gdŻ( ¤¤[$\$gdŻ( ¤¤1$[$\$gdŻ(gdŻ($a$gdŻ($ Ę,„„0ż¤d¤d[$\$^„`„0ża$gdŻ($$$$$$$$#$$$%$&$żżżżżżżõżżšgdŻ($a$gd °&*>e>?‹Ųb®śH|›¹W¦õD“Ļm¼¾č@wĘkĆśI˜Ā T £ ņ G œ Ł ( ¶ >  Ü Q   ļ >ż QuvĄų=‘’Óā>Mƒ'I˜ēd™į0Īl».Sŗ°{><YZv€Š™æĻčé '$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬$¬>?‹Ųb®śH|›¹W¦õD“Ļm¼¾č@wĘkĆśI˜Ā T £ ņ G œ Ł ( w ¶ >  Ü Q   ļ >ż QuvĄų=‘’Óā>Mƒ'I˜ēd™į0Īl».Sŗ°{><YZv€Š™æĻčé  #$'˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€hĖ0›h‹0šhĖ0›h‹0šhĖ0›h‹0šhĖ0’h‹0š˜0€€hĖ0’ˆ0 §>?‹Ųb®śH|›¹W¦õD“Ļm¼¾č@wĘkĆśI˜Ā T £ ņ G œ Ł ( w ¶ >  Ü Q   ļ >ż QuvĄų=‘’Óā>Mƒ'I˜ēd™į0Īl».Sŗ°{><YZv€Š™æĻčé 'ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€ˆĶ0€  $&$Ęu.$&$%$ !’•€’’¶Ån¤S“Ån“V ¦Ån t@¢§Ån‘ ØÅnD‘ µÅn„‘ ŖÅnđ «Ån’ ¤ææĻĻŁā'¬ĪĪ×įēē':*€urn:schemas-microsoft-com:office:smarttags€Street€;*€urn:schemas-microsoft-com:office:smarttags€address€9*€urn:schemas-microsoft-com:office:smarttags€place€8*€urn:schemas-microsoft-com:office:smarttags€City€9*€urn:schemas-microsoft-com:office:smarttags€State€>*€urn:schemas-microsoft-com:office:smarttags €PostalCode€ (3ē:<ÉĢN Q ‘˜ĀÉ '2:%(VY '::::   "$' ' ŲbäąfŠŠddHBcžmŠŠddąfīI¾TŠŠdd’a2H?_ŠJīI¾TŠŠddŽpęOīI¾Tģ%^żUKoŠŠddZOF_ģ%^ŠŠddYQ%gZOF_ŠŠddcžmīI¾TŠŠddżUKoīI¾TŠŠddÕq?_ŠJŠŠddå SŻ(r!Ė%#Æ`9›[=Tl? P@+4E G ?@ABCDž’’’ż’’’Gž’’’ž’’’ž’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’Root Entry’’’’’’’’ ĄF Ŗ†ĄĘI€1Table’’’’’’’’J1WordDocument’’’’’’’’46SummaryInformation(’’’’5DocumentSummaryInformation8’’’’’’’’’’’’=CompObj’’’’’’’’’’’’q’’’’’’’’’’’’’’’’’’’’’’’’ž’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’’ž’ ’’’’ ĄFMicrosoft Office Word Document MSWordDocWord.Document.8ō9²q