Prospective Extra Coaches, Thank you for your interest in coaching an Extra Team. Coaching an EXTRA team is a one-year commitment starting on Aug 1st. With respect to the process, our deadline is March 15 to submit your Extra Coach Application. Verbal applications will not be recognized. You must allow the committee time to review all the applications. Please do not assume that you can become an Extra coach simply by default if no one else submits an application. Until you are formally approved and selected, you do not have an Extra team on which to offer anyone (players or Asst Coaches) a position. Teams will only be formed if a qualified coach is approved by the Board for the division, and then only if a competitive team can be formed based on the skill level of the players that tryout and commit to the team. Assistant Coaches will be screened and selected from the Head Coach applications. They will need to meet the same standards, and follow the same guidelines as the Head Coach to qualify. Applicants not initially offered an Extra team will receive first consideration for Assistant Coaching positions in the same division. Coaches cannot engage in any direct scouting with potential players. Unlike Select, we will be conducting open assessments. Players must tryout to play and represent Region 14 on the EXTRA team. Thank you again for your interest in this Extra program. The Extra Team Committee will make its decision as quickly as possible and notify all applicants of its decision. COACH ELIGIBILITY Coaches participating in EXTRA should be of excellent quality. At a minimum, EXTRA coaches (head or assistant) must: Have a current Volunteer Application on file at the National Support & Training Center; Be an AYSO trained and certified coach as specified in these Guidelines; Be Safe Haven certified; Be an active participant in the Region’s standard primary program as an instructor, coach or Referee mentor, or other volunteer service the Region determines adequate to fulfill this requirement; Be in good standing with the Region, Area and/or Section and AYSO; Be approved by the Region board; and Be evaluated and renewed each membership year. Coaches desiring to coach must have completed age specific training/certification levels as listed below: U-10 and U-12—U-12 Coach U-14—Intermediate Coach It is strongly recommended that EXTRA program coaches be certified at least one level above the level they intend to coach (except as set forth above, U-10 coaches must be certified at the U-12 level). It is also strongly recommended that coaches have continuing education each year as designed by the Region. Those wanting to coach must fill in an application and submit it for approval. Page 1 of 3 EXTRA Pilot Program Coach Application 1-11 EXTRA™ Pilot Program 2015-2016 COACH APPLICATION PRE REQUISITES FOR SUBMMITTING an APPLICATION TO COACH Current AYSO Volunteer Application Form filed at National Support & Training Center Compliant with training requirements for age of team being applied for per national and Area 1F/Region 14 Pilot Program Guidelines AYSO Safe Haven Certification 2 Years minimum coaching experience Completed Application Regional Board Approval APPLICANT’S INFORMATION Full Name: ________________________________________________________________ Mailing Address: ___________________________________________________________ City, State, Zip ___________________________________________________________ E-mail Address: ____________________________________________________________ Best Phone #: _________________________ TRAINING (Circle highest attained and year training completed) AYSO Coach: U-12 USSF Coach: E Youth D-State Intermediate D- Nat’l C Advanced B A National # __________ Year: ________ Did you use the AYSO Reciprocity agreement for licensing? Yes AYSO Referee: National Regional Intermediate Year: ________ Advanced No _________ Year _________ EXPERIENCE Experience Coaching/Training – AYSO Region: _____ Division: _____ Fall All-Star Spring Plus Year: ________ Region: _____ Division: _____ Fall All-Star Spring Plus Year: ________ Region: _____ Division: _____ Fall All-Star Spring Plus Year: ________ Total years in coaching in AYSO _ ______ Experience Coaching/Training – Other Organizations (USYS, US Club, SAY, etc): Club: ___________________ Level: ______________ Years: _______ - _________ Club: ___________________ Level: ______________ Years: _______ - _________ Club: ___________________ Level: ______________ Years: _______ - _________ Total years coaching in other organizations ________ Page 2 of 3 EXTRA Pilot Program Coach Application 1-11 Gender and age of division being requested to coach in EXTRA (Circle age division) BU- 9 BU-10 BU-11 BU-12 BU-13 BU-14 GU-9 GU-10 GU-11 GU-12 GU-13 GU-14 Additional experience you consider relevant to your application to coach an EXTRA team: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ (If you require more space, please attach additional paperwork to your application when submitted) REFERENCES: Name Phone # E-mail Address 1. __________________________________________________________________________ 2. __________________________________________________________________________ 3. __________________________________________________________________________ PLEASE ATTACH ANY ADDITIONAL REFERENCE LETTERS. RETURN COMPLETED APPLICATION TO: Region 14 4733 Torrance Blvd. #174 Torrance CA 90503 or Page 3 of 3 EXTRA Pilot Program Coach Application 1-11 e-mail to: EXTRA.AYSOR14@gmail.com and rc@ayso-region14.org