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Our Club
Club Overview
Board of Directors
Coaches & Staff
Teams
Spiritwear Store
Our Programs
Recreational Program
Competitive Program
Resources
Parents Portal
Code of Conduct
PAD Procedures
Coaches Code of Conduct
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Contact Us
Competitive Coach Application
Name
*
Phone
*
Email
*
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Zip / Postal Code
US Soccer license level
*
—
A
B
C
D
CYSA E/D
CYSA E
CYSA F
Grassroots
Other
None
US Soccer license year (N/A if not applicable)
*
United Soccer Coaches diploma
—
Master Coach
Premier
Advanced National
National
None
United Soccer Coaches diploma year
Age group interest (check all that apply)
*
2003B
2003G
2004B
2004G
2005B
2005G
2006B
2006G
2007B
2007G
2008B
2008G
2009B
2009G
2010B
2010G
2011B
2011G
2012B
2012G
2013B
2013G
2014B
2014G
Staff coach or trainer
Soccer resume
Drop your file here or click here to upload
If you have a soccer resume, please upload it here in PDF format.
Soccer background
If you have not uploaded a soccer resume, or wish to add more information, please fill out the sections below.
Licenses/diplomas
Certifications/awards
Coaching experience
Playing experience
Notes
Please provided any additional information for consideration below.
Notes
Website
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Other Forms
Suggestion Box
Reimbursement Request
UC Premier Publicity Form
Competitive Coach Application
Recreational Coaching Interest Form
Coach Conduct Agreement
Player Assessment Request
Incident Report Form
