License and Certification
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Please indicate what coaching license you hold (None, F, E, E/D, D, C<, B, A, G/K) AND if you are a certified referee (Yes or No)
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Certified Referee (Yes or No)
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Experience or Qualifications
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Have you coached for Prospector Soccer
Club before? (Yes or No)
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How many years have you been
coaching?
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If so, please indicate the year(s) you coached and the team’s division, age, gender, and team name.
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Have you ever been suspended from
coaching or put on probation? (Yes or No)
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Have you played organized soccer?
(Yes or No)
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Describe your coaching experience and your qualifications for the age group you would like to coach.
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If you have a son/daughter playing Prospector recreational soccer in the age bracket you are interested in coaching, please indicate
child's name and age group.
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Child's Name (First and Last)
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*Please submit the form only once.
You will receive a confirmation message after submission.
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