Application for Employment: Teen Coach
2014 - 2015
Project Coach Teen Coach Application
Name _________________________________________________________________
Address________________________________________________________________
_______________________________________________________________________
Phone [cell] _____________________________[home]_________________________
Date of Birth _______________________________
School _________________________________________
Social Security #________________________Student ID #_____________________
Doctor’s Name (or Medical Practice) ______________________________________
Date of Last Physical ____________________________________________________
(PC Coaches Must Have an Annual Physical)
Shirt size [men’s size] __________
Grade (year) in School_______________ Current GPA ___________
Grades last semester:
Subject:_________________________
Final Grade:_________
Subject:_________________________
Final Grade:_________
Subject:_________________________
Final Grade:_________
Subject:_________________________
Final Grade:_________
Subject:_________________________
Final Grade:_________
Subject:_________________________
Final Grade:_________
Project Coach teams Smith College faculty and students with city youth in a sports-based life-skills program that teaches teens to coach and mentor kids in
neighborhood elementary schools. Project Coach empowers youth to be successful students, leaders and community members. We coach for change.
Application for Employment: Teen Coach
2014 - 2015
What sports do you love?
_______________________________________________________
Are you a member of a school team? __________ If yes, what is the practice
schedule:
Months __________________ Days __________________ Hours ________________
Do you have any experience working with children? _________ If yes, please
describe what kind of work you have done:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Why do you want to learn to coach?
________________________________________________________________________
________________________________________________________________________
What do you hope to get out of Project Coach?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What makes someone a good coach?
________________________________________________________________________
________________________________________________________________________
Project Coach teams Smith College faculty and students with city youth in a sports-based life-skills program that teaches teens to coach and mentor kids in
neighborhood elementary schools. Project Coach empowers youth to be successful students, leaders and community members. We coach for change.
Application for Employment: Teen Coach
2014 - 2015
Why would you be a good coach?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
List any special trainings or workshops you may have attended (leadership,
community service, conflict resolution, etc.)
_____________________________________________________________________
_____________________________________________________________________
List any community, school, or volunteer activities you have been involved in:
_____________________________________________________________________
_____________________________________________________________________
Please indicate that you understand that if you are accepted into this program, you
must attend regularly, you must come with a positive attitude, and you must be
ready to learn and to work.
Student’s signature _________________________________ Date _______________
Project Coach teams Smith College faculty and students with city youth in a sports-based life-skills program that teaches teens to coach and mentor kids in
neighborhood elementary schools. Project Coach empowers youth to be successful students, leaders and community members. We coach for change.
Application for Employment: Teen Coach
2014 - 2015
Please have at least one reference fill out the information on the following pages.
References must be teachers, guidance counselors, supervisors, or other adults
who are not related to you.
Reference Name Position/Relationship to Student
___________________________ / _____________________________________
Reference Phone #
Yes/No Comment
Student is dependable _________ ______________________________________
Student would be a good role model to other youth
___________ _____________________________________
Other information about the student that we should take into account:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________________ _________________________________
Reference signature
Date
Please return this application to Guidance by ______________________
Project Coach teams Smith College faculty and students with city youth in a sports-based life-skills program that teaches teens to coach and mentor kids in
neighborhood elementary schools. Project Coach empowers youth to be successful students, leaders and community members. We coach for change.