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Coaching Application
  Harford Kicks Soccer Club is always looking for talented and experienced coaches in the Harford County Area.
Please complete the information below to apply to coach for Harford Kicks. 

After submitting this form, someone from the the club will contact you. * = Required Fields
 
  General Information
  *1) Name:
  2) Birth Date:
  3) Gender:     Male       Female
  *4) Street Address:
        City: State: Zip:
  *5) Phone Number:
  6) Cell Phone Number:
  7) Work Phone Number:
  *8) E-mail Address:
  *9) I would like to:  (Select One)
 
  Volunteer to Coach
  Be compensated Financially for Coaching
   10) If you would like to be compensated for your coaching services, what is your approximate hourly rate?   $/hr
  *11) I would like to:  (Select One)
 
  Start a New Harford Kicks team
  Transfer an existing team into Harford Kicks
  Coach or train an existing Harford Kicks Team or Program
  12) How much time would you be willing to dedicate to coaching in a normal week?  (Select One)
 
  Less than 4 hours
  Less than 8 hours
  More than 8 hours
   
  Team Transfers
If you are considering transferring a team into Harford Kicks, please complete this section. If not, leave this section blank.
 
  13a) Current Club/Organization: 
  13b) Team Gender:     Boys       Girls,         Team Age Group: 
  13c) Approximately how many players from the current roster will be transferring?
  13d) Most Recent League: 
  13e) Reason for Leaving Current Club/Organization (this will be held confidential):

 
  Coaching/Playing Experience
  14) What is the highest level of Soccer you have Coached?
  15) Please describe your coaching experience:
  16) What is the highest level of Soccer you have Played?
  17) Please describe any other experience that might be useful:
  18) Please identify any coaching licenses or certifications you may have:
  References
  19a) Reference 1
  Name:
  Relationship:
  Phone Number:
  E-mail Address:
  19b) Reference 2
  Name:
  Relationship:
  Phone Number:
  E-mail Address:
  19c) Reference 3
  Name:
  Relationship:
  Phone Number:
  E-mail Address:
   
  20) Please check here to give Harford Kicks Soccer Club, Inc. permission to perform a background check. 
This check will be held confidential.
   
  21) Any Additional Comments:

                                                      
 

© Harford Kicks Soccer Club, Inc. All Rights Reserved.
For more information, e-mail us at: info@harfordkicks.org