Coach Application This page is for Coaches and Assistant Coaches to register for the upcoming season! 2017 Coach Application 1 Name & ID2 Season Info3 Background4 References5 Submit COACH INFORMATIONAre you planning to take on the role as* COACH ASSISTANT COACH Name*Full Legal Name Required First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth*Enter Your Date of Birth MM DD YYYY Gender*SelectMaleFemalePrimary Phone*Mobile Numbers are preferred - Area Code is RequiredPrimary Email* Do you have a valid Driver's License*A copy of valid photo identification must be included with your application. Yes No, Other Form of ID Driver License Number*Upload IDIf you cannot upload a photo of your ID during online registration, you will need to drop off a copy or send one to our office. Have you ever been convicted or pleaded guilty to any Felony crime(s)?*If YES, an additional box will allow you to list the information below. Yes No If Yes, explain*Shirt Size*Adult - SmallAdult - MediumAdult - LargeAdult - XLAdult - XXLAdult - 3XL PREVIOUS SEASON INFORMATIONDid you coach last year at TC American Legion?* Yes No Coached in different league Which League(s) did you coach in last season?Check all that apply T-BALL 5 and 6 DELTA 7 and 8 CHARLIE 9 and 10 BRAVO 11 and 12 ALPHA 13 and 14 AA-ALPHA 15,16,17,18 Who was/were your sponsors last season?Please tell include as much information as available: Sponsor/Business Name, Contact Person, Phone, Email, Physical/Web Addresses, Which League(s) - if applicable, etc. UPCOMING SEASON INFORMATIONWill you be Coaching your child this season?*Separate Player Application form is required. Yes No Which League(s) will you coach in this season?*Check all that apply T-BALL 5 and 6 DELTA 7 and 8 CHARLIE 9 and 10 BRAVO 11 and 12 ALPHA 13 and 14 AA-ALPHA 15,16,17,18 Do you have an Assistant Coach selected?*Assistants must register separately, also. Yes No Assistant Coach(es) InformationPlease tell include as much information as available: Assistant Coach Name, Phone, Email, etc. Do you have a Sponsor (or Sponsors) lined-up for this coming season?* Yes No Information About Your Team Sponsor This SeasonPlease tell include as much information as available: Sponsor/Business Name, Contact Person, Phone, Email, Physical/Web Addresses, etc. ADDITIONAL COACHING INFORMATIONList any Special or Professional Training, Skills, and HobbiesCommunity AffiliationsClubs, Service Organizations, etc.Coaching ExperienceBaseball ExperienceSpecial CertificationsCPR, Medical, etc. REFERENCESList three references. The first one listed must have knowledge of your participation as a volunteer in a youth program.Name - Reference #1* First Last Phone - Reference #1*Email - Reference #1* Name - Reference #2 First Last Phone - Reference #2Email - Reference #2 Name - Reference #3 First Last Phone - Reference #3Email - Reference #3 COMPLETE APPLICATIONNotes to LeagueUse this space to tell us anything specific about your registration or special situations involved with your teams, players or coaches that was not covered in the rest of the Application Form.WAIVER OF LIABILITY*The American Legion Baseball depends on people like you and your dedication. If you are selected to become a volunteer for one of the finest programs in the Grand Traverse Area and the United States we expect you to attend your assigned games on time and with out absents. Phone calls, scheduled clinics, and communications with our Field Director is a must to make this an outstanding year in baseball. As a condition of volunteering, I give permission for the American Legion Junior Baseball Program to conduct a background check on me, which may include a review of sex offender, registries, child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I also understand that the League is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension or termination by the Director or any Board of Directors for the violation of the League polices, or principles. By signing this application I accept the responsibility and dedication needed for this position. Select Yes to sign this application. Yes No Signature*Use your mouse, touchpad, stylus, or finger on your phone to complete your child's registration. Human Coaching Staff OnlyPlease confirm that you are not a robot. NOTE:The American Legion Junior Baseball Program will not discriminate against any person on the basis of race, religion, national origin, marital status, gender, sexual orientation or disability.NameThis field is for validation purposes and should be left unchanged.