Santa Cruz Mid-County Youth Soccer League

Mid-County Division III Coaches Application

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Mid-County Youth Soccer Club
P.O. Box 668
Soquel, Ca 95073

Mid-County Division III Coaches Application

Age Group (circle one): U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19
Gender (circle one): Boy Girl

Name:	____________________________________________________
Address:	____________________________________________________
Home Phone:	____________________ Work Phone:____________________
Email:	____________________

Recent Coaching Experience: Please list the season, club or league, and the age group.

Season	Club and/or League	Gender and Age group
(SAMPLE) Spring 2005	Mid-County/D2	GU12 (Girls under 12yrs old)

Current Coaches License: ________ Do you plan to upgrade this year? _______

Referee Experience: (Grade) _________ Years Experience: ________

How do you measure success for a Season?

References: Please list two coaches and two players as references.

Coach #1
	Name
	Contact Phone / Email
	Address
Coach #2
	Name
	Contact Phone / Email
	Address
Player #1
	Name
	Contact Phone / Email
	Address
Player #2
	Name
	Contact Phone / Email
	Address

Note: Division III coaches hold open try-outs under the auspices of the Mid-County Soccer Club. It is the Coaches' responsibility to hold a fair and open try-out. The Mid-County Soccer Club has final approval of the roster.