First Name Last Name Phone Email Street Address City State Zip Code Date of Birth Have you even been convicted of a misdermenor or felony?: No Yes What division are you interested in coaching? Ages 6-8 Ages 9-11 Ages 12-14 Ages15-17 I the undersigned understand that by signing this application I agree for Community Lifestyle to run a background check and that all the information provided is accurate and true. I also agree to follow the rules and represent this organization in a professional and a good sportsman like manner both on and off the field. Community Lifestyle does not discriminate in the recruitment and placement of volunteers on the basis of race, color, religion, national origin, sex, marital status, disability, age, or veteran status. No questions on this application are intended to secure information to be used in a discriminatory manner. Your completed application will be reviewed carefully; but does not imply that you will be utilized. Volunteer consideration necessitates that you meet all conditions required for the position for which you are applying. I have read, understand, and agree without exception to the terms and conditions stated above! Submit Application
