PORTLAND PUBLIC SCHOOLS

ATHLETIC DEPARTMENT

 COACHING APPLICATION

Name _____________________________              Social Security Number _________________

Address____________________________              Phone Number________________________

Coaching assignment(s) applied for: ________________________________________________
______________________________________________________________________________

Areas of interest:   Boys_____  Girls_____   Varsity_____  J.V. _____   9th _____   M.S. _____

Have you ever applied to or been employed by this district? _______________________

Have you ever been arrested?  Yes _____   No _____

If so, when and why?  ___________________________________________________________

 

EDUCATIONAL PREPARATION

High School  ____________________________ Location ___________  Graduation Date  ____

College or University _____________________  Location ___________  Graduation Date ____

Major(s) _______________________________     Minor(s) _____________________________

Other courses, e.g.  First Aid, CPR, etc. _____________________________________________

 

 

SPORTS PARTICIPATION

High School                                          Years               Letters Earned

___________________________      ______            ______________________________

___________________________      ______            ______________________________

___________________________      ______            ______________________________

College or University

___________________________      ______            ______________________________

___________________________      ______            ______________________________

___________________________      ______            ______________________________

Note:  The Representative Council URGES all schools strive to the standard that only qualified faculty members are used as head coaches for interscholastic athletic teams, and that all non-faculty coaches complete MHSAA’s Program for Athletic Coaches’ Education (PACE) or equivalent program. (1989)

 

I would be willing to take the program for coaches education:  Yes _____    No _____

 

COACHING EXPERIENCE

Sport                            Level                School                          Year                 Head/Assistant

_________________  ________        _________________  ________        __________________

_________________  ________        _________________  ________        __________________

_________________  ________        _________________  ________        __________________

Why are you interested in coaching?  _______________________________________________

Coaching philosophy (as it applied to winning, educational benefits, parent communication, sportsmanship):  ________________________________________________________________

______________________________________________________________________________

Current Employer

Name                           Address                       Position            Supervisor                    Phone #

_______________      ________________    __________    ________________    ____________

Reference: (Portland Public School personnel, if possible)

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

In Case of an emergency or accident notify:

Name ____________________________________                          Phone # _________________

Full Address ___________________________________________________________________

We will run a criminal history check.

Full Applicant’s Signature _______________________________      Date ___________________

It shall be the policy of the Portland Public Schools not to discriminate on the basis of religion, race, national original, sex, or handicap in educational programs, activities or services.  All students shall have an equal opportunity to participate in and benefit from all academic extracurricular activities and services.