Coaching Application Form

Please fill out the form to express your desire to Coach a team with the Mississauga Majors

Name

Address

Phone Number

Cell Phone Number

Email Address

Drivers License #

Employers Name

Employers Address

Personal Reference 1

Personal Reference 2

Personal Reference 3

Team Requested

Coaching Staff

Playing Experience ( Teams and Levels Played)

Coaching Experience (Teams and Levels Coached)

Coaching Certifications ( Include dates when aquired)

Coaching Philosophy

By Checking this box , I give the permission to allow my Employer / Personal references to be contacted for the purposes of my application

By Checking this box , I give the permission to allow a Level 3 Criminal Reference Check for the purposes of my application

Signature ( Please enter your Full Legal name as your signature)

Todays Date