Travel Coaches Application Form

You should not enter any sensitive information on this page such as health data, passwords or social security numbers. If you are being asked or need to provide this information for your registration please contact East Fishkill Soccer Club directly.

Fields marked with an <span class="ninja-forms-req-symbol">*</span> are required

Coaches and assistant coaches are required to submit an application to coach on an annual basis. All coaching applications are reviewed by the Travel Program Committee. Coaching applications are due by March 15. Coaches will receive notification of the status of their applications by March 31. East Fishkill Soccer Club has the right to deny any applicant that does not provide complete and accurate information.

Season applying for *

First Name *

Last Name *

Teams you are Applying to Coach (Head or Asst) *

Address *

City *

US States *

Zip *

Country *

Phone *

Email Address *

Date of Birth *

Playing Experience *

Coaching Experience *

Referee Grade *

Soccer Clubs Affiliated with

Have you ever been dismissed or suspended from any club or coaching position? *

If yes, explain

Certifications *

None
CPR
First Aid
AED
Other

Do you have a coaching license? *

Please list Coaching License, if you checked yes above. What License and your #? If possible send a copy to the Travel DOC

Date Submitted

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Coaches Corner

Travel Coaches Application Form

East Fishkill Soccer Club

Map to Route 52 Complex

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