NVSC Travel Coach Application

Northern Virginia Soccer Club Travel Team Coach Application

This form must be completed and submitted per. A completed KidSafe Form must be sent to our VP of Select Teams Sonny Barrickman (vpselect@novasc.org), the KidSafe form can be found here. If you have already provided a KidSafe form to NVSC within the past two years then you are fine. Any questions should be directed to Sonny Barrickman.

Name:
Address:
Home Phone:
Work Phone:
Cell Phone:
Birth Date:
Email Address:
Age Group:
First Planned Season:
Please select one or more of the following:	New Team Team Transfer (Purpose in Comments) Coaching Pool
Soccer Coaching Education/License:
Prior Involvement with/Contributions to NVSC or MASA/MATT or MCSA:
Coaching Philosophy:
Coaching Goals:
Other Comments:
Reference Name:
Reference Address:
Reference Phone Number:
2nd Reference Name:
2nd Reference Address:
2nd Reference Phone Number:
The Coaching Pool is used to fill future Travel Coach vacancies as they occur. Coaches in the pool at the time of vacancy willl be considered to fill that vacancy. This pool alleviates the need for an applicant to resubmit an application each time a vacancy occurs. An applicant may submit an updated application as needed. An applicant may have their application removed from the Coaching Pool upon request.	Yes No
By selecting the I agree button below you agree to abide by the NVSC Operating Procedures and requirements regarding Coaching Selection, Changes and Removal. I have on file or have completed the Kidsafe application (you can turn in a completed Kidsafe application to our Travel Director).	I agree I do NOT agree


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