Neenah Baseball - Coaches Application

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NEENAH BASEBALL ONLINE COACHES APPLICATION

PLEASE COMPLETE THE FOLLOWING COACHES APPLICATION. ALL INFORMATION IS REQUIRED. NEENAH BASEBALL WILL COMPLETE A FULL CRIMINAL BACKGROUND CHECK ON ALL POTENTIAL HEAD COACHES.

ALL APPROVED COACHES ARE REQUIRED TO BECOME CERTIFIED BY THE BABE RUTH COACHING EDUCATION CENTER. THE COURSE IS TAKEN ONLINE AND YOUR CERTIFICATION NEVER EXPIRES. ALL FEES FOR THIS WILL BE REIMBURSED BY NEENAH BASEBALL. CLICK HERE TO LEARN MORE ABOUT THE COURSE: COACHES CERTIFICATION

COACHES APPLICATION DEADLINES:

CAL RIPKEN LEAGUE COACH: 2/11/2012

CAL RIPKEN TOURNAMENT COACH: 3/11/2012

USSSA LEAGUE COACH: 2/15/2012

USSSA TOURNAMENT COACH: 2/15/2012

COACHES INFORMATION
Last Name:
First Name:
Middle Initial:
Address:
City:
State:
Zip Code:
Date of Birth:
Drivers License #:
Home Phone:
Cell Phone:
Email:
Employer:
Employer Phone:
PLEASE SELECT POSITION(S) YOU ARE APPLYING FOR

PLEASE SELECT LEAGUE(S) YOU ARE APPLYING FOR

PAST COACHING EXPERIENCE: Please list sport, ages or levels coached, years coached and position.

REFERENCES: (Please list 2 names and phone numbers for each)
Name:
Phone Number:
Name:
Phone Number:
HAVE YOU EVER BEEN CONVICTED OF A CRIME?
	YES
If yes, list date:
	NO
If yes, please explain.



I certify that the above information provided is accurate and true, and understand by submitting this application to coach a complete criminal background check will be made.

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