DO NOT HIT ENTER OR RETURN UNTIL YOU ARE FINISHED Its is ok to leave a field blank If you prefer you can print the form (see button at the bottom) and send it to SSJYSL P.O. Box 23790 San Jose, CA 95153-3790 Name: Address: City / Zip: Telephone: Cell phone: Email: Age group U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Class Class 1 (Abronzino) Class 3 (Delgado) Gender Girls Boys Coaching certificates (incl. year) Referee license No Yes Games refereed last year Playing experience Please indicate reason why you want to coach Do you agree to abide by the CYSA and SSJYSL rules No Yes If your team roster changed morethan 33% please explain why I understand that a coach is responsiblefor the team, including palyers and parents.Will you be conscientious about overseeing the teams No Yes I understand that SSJYSLrequires all team to wearleague approved uniforms No Yes Other than coaching how did yourplayers and parents participatein SSJYSL activities? Includerefereeing, help with openingday, field work, ... Coaching experience Year Age Gender Role Class League Team U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 U4 U5 U6 U7 U8 U9 U10 U11 U12 U13 U14 U15 U16 U17 U18 U19 Girls Boys Head Coach Assistant Class 1 Class 3 Class 4 Roster of previous team(Include name and phone numbers, one per line) Roster of second previous team(Include name and phone numbers, one per line) Soccer resume (optional,upload PDF, text or DOC file) Action:If you submit the form you will get an email with a copy. If you don't get the email within 24h please contact our Comp director directly. If you have any questions and concerns, please contact the SSJYSL Coaching Director at comp@ssjysl.org