Semiahmoo SC
Application to Coach 2008 - 2009 Season

Please complete the following application form. Fields marked * are mandatory.

Application Deadlines are as follows:

• January 30, 2008: Metro/Gold/Silver A Applications 
• April 30, 2008: Silver B Applications
• June 30, 2008: House/Recreation League Applications

Full Name *
Date of Birth *	(Must be in this format: dd/mm/yy)
Address *
City *
Province *
Postal Code *
Telephone *
Cell Phone::
Your Email *
	For new coaches or to update your current photo.
Upload your Photo::	Max File Size 500mb
	What Coaching position are you applying for?
Position *	CoachAsst CoachCo-Coach
	Which age level are you applying to Coach for? (listed by year of birth of player for the upcoming season)
Age Level *	2003(U6)2002(U7)2001(U8)2000(U9)1999(U10)1998(U11)1997(U12)1996(U13)1995(U14)1994(U15)1993(U16)1992(U17)1991(U18)
	What level of competition are you interested in coaching? (for players in the U11 to U18 age groups)
Comp Level *	MetroGoldSilver ASilver BSelectsMini
	How many daughters do you have registered with Semiahmoo Soccer Club?
Daughters *	NoneOneTwoThreeMore
	Which daughter would you like to coach?
Name::
Birth Year::	select2003200220012000199919981997199619951994199319921991
	Are you presently coaching (or planning to coach) another team at another club?
Y/N *	YesNo
	If Yes list team name and club:
Team Name::
Club Name::
	Have you ever taken any courses offered by the National Coaching Certification Program (NCCP)?
Y/N *	YesNo
	If Yes check all courses taken (NCCP)
NCCP Courses::	Community Coaching Children (CCC)Community Coaching Youth (CCY)Community Coaching Senior (CCS)B Prep - B License (BPrepB)
Date of Last Course Taken::	(dd/mm/yy)
	Would you like to receive information about additional Coach Certification Courses?
Y/N *	YesNo
	Have you read the SSC Coaches Code of conduct?
Select *	YesNo Click here to open this document (Word)
Additional Comments?::
	Review your information and when satisfied enter the security code and click the submit application button below.
Enter Security Code *
Click When Done::

NOTE: Completion and submission of this application does not mean, nor will it necessarily result in, automatic acceptance of successful selection of the person applying to coach a team within Semiahmoo SC.

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