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827 E. Avenue Q-9, Palmdale, CA 93550 I 661/267-5611 ALL COACHES MUST BE FINGERPRINTED AND CLEARED IN ORDER TO BE CONSIDERED AS A COACH. Fingerprints are taken at the HUMAN RESOURCES, 38250 Sierra Hwy, 2nd Floor , M-Th 8-5 (closed from 1-2) (Photo ID. Required) INTENT TO COACH APPLICATION “Good coaching is about leadership and instilling respect in your players. Dictators lead through fear - good coaches do not.” John Wooden NAME: ADDRESS: CITY: ZIP: PRIMARY PHONE SECONDARY PHONE EMAIL ADDRESS: WILL YOU BE COACHING YOUR OWN CHILD? YES: NO: WILL YOU BE COACHING YOUR OWN CHILD? YES: NO: NAME OF YOUR CHILD: AGE: NAME OF YOUR CHILD: AGE: PLEASE SELECT THE SPORT AND AGE DIVISION YOU ARE INTERESTED IN COACHING: BASKETBALL COED: 7-8 I 9-10 I 11-12 I 13-14 VOLLEYBALL COED: 9-12 I 13-16 T-BALL: 5-8 I COACHES PITCH: 7-10 I BASEBALL: 9-11 12-14 I GIRL’S SOFTBALL: 9-12 13-16 PREVIOUS COACHING EXPERIENCE HAVE YOU COACHED FOR PALMDALE PARKS & RECREATION IN THE PAST? YES: NO: IF YES, PLEASE LIST SPORT, AGE DIVISION, YEAR AND LEAGUE THAT YOU COACHED: SPORT: AGE DIVISION: YEAR: LEAGUE: SPORT: AGE DIVISION: YEAR: LEAGUE: SPORT: AGE DIVISION: YEAR: LEAGUE: SPORT: AGE DIVISION: YEAR: LEAGUE: IF NO, PLEASE LIST ANY RELATED SPORT EXPERIENCE: PLEASE COMPLETE SECOND PAGE OF APPLICATION INTENT TO COACH APPLICATION Page 1 of 2 ---PAGE BREAK--- INTENT TO COACH APPLICATION Please answer the following coaching question to be considered as a coach. 1. Why are you interested in coaching? 2. Provide a brief description of your main goals as a youth coach and your coaching philosophy for young athletes: 3. Please describe your and weaknesses as a coach: 4. Have you ever been ejected or otherwise disciplined for coaching or spectator conduct at a youth athletic event? YES/NO If YES, please explain: 5. What experience or knowledge do you possess other than coaching that makes you qualified to coach young athletes? 6. How much importance do you place on winning? Why? Thank you for taking the time to fill out the coaching application! Please submit to the Sports Division for review. Selected coaches will be contacted within 2-3 weeks before practices begin. If you have any questions regarding the coaching process, please contact us at 661/267-5611. INTENT TO COACH APPLICATION Page 2 of 2