Instructions on How to Complete and Route the MCCS SFYS Coaching Application

Instructions on how to complete and route the MCCS SFYS Coaching Application:

PAGES 1-5:Please complete these formsand submit them directly back to us (Coaching Application, Coaches Code of Ethics/Touch Policy, Volunteer Questionnaire, Family Advocacy form and the MCCS Release and Hold Harmless Agreement). You do NOT need to take the Family Advocacy form to the facility to get it completed. We are authorized to process this form for you therefore you must provide the full Social Security Number (SSN). Family Advocacy will not accept/release requests by an applicant to have their records processed.
PAGE 6:Please complete the PMO Local Records Check Formand take it to your closest PMO Admin. Desk to get approved and submit it back to SFYS.

Local Records Check / Building #
Camp Foster PMO / 496
Camp Courtney PMO / 4301
Camp Kinser PMO / 520
MCAS Futenma PMO / 405
Camp Hansen PMO / 2494
Camp Schwab PMO / 3402

PAGE 7:Please complete the Substance Abuse Formand take it to either the Behavioral Health Center on Camp Foster (Bldg. #440, next to the Chapel) or to your Unit's SACO Representative for approval and submit it back to us.

*Attention applicants stationed on Kadena Air Base!*
The procedures for your background checks are slightly different than USMC volunteers. For those on Kadena, please route your forms through Kadena Security Forces (Bldg. #705) and Family Advocacy/Mental Health Center (both in Bldg. #90). Once you have turned in your form to the Family Advocacy program on Kadena, please email us to notify us so we may arrange to have it picked up.

Please ensure that all forms are signed and completed to be properly processed.
An applicant may not coach within our program until all forms are processed entirely. Applications will not be considered without a completed background check form. Both Head and Assistant Coaches must provide all completed forms prior to coaching. Volunteers will not be able to remain with participants unsupervised without a completed packet and will not receive volunteer credit.

All of these forms must have the full SSN present to be routed otherwise; each facility will not approve these forms. If you would like, you may black out your SSN after it has been signed by the appropriate section otherwise, the YS representative will black out this section once the form is submitted. Please ensure the PMO/CSAC representative has signed, dated and stamped your forms prior to submission.

Once these forms are completed, you can either drop it off at our office or scan and email us the forms to:

For more information, contact the Youth Sports Office at 645-3533/34 or come visit us at our Foster Office, Bldg. 5966.

MCCS SEMPER FIT YOUTH SPORTS COACHING APPLICATION
 Thank you for considering volunteering in our military community 
VOLUNTEER INFORMATION
*APPLICANT MUST PROVIDE MORE THAN ONE CONTACT NUMBER/EMAIL ADDRESS AS WELL AS A MAILING ADDRESS.*
LAST NAME: / FIRST NAME: / RANK/TITLE:
HOME PHONE: / WORK PHONE: / CELL PHONE:
EMAIL: / ALTERNATE EMAIL:
PSC MAILING ADDRESS: / ROTATION DATE: / BRANCH OF SERVICE:
COACHING PREFERENCES
SPORT / AGE DIVISION(check all that apply) / POSITION / AREA / PRACTICE DAYS
Co-ed Soccer
Boys Basketball
Girls Basketball
Cheerleading / T-Ball (ages 5-6)
Coach Pitch (ages 7-8) Boys Baseball (ages 9+)
Girls Softball (Ages 9+) / Ages 5-6
Ages 7-8
Ages 9-10
Ages 11-12 / Ages 13-14
Ages 15-16
Ages 17-18 Flexible / Head Coach
Asst. Coach
Flexible / Courtney / McT
Foster
Kinser
Flexible / Mon / Wed
Tues / Thurs
Flexible
Times: (PM)
5-6 6-7 7-8

DO YOU HAVE A HEAD OR ASSISTANT COACH YOU WOULD LIKE TO COACH WITH?(PLEASE NOTE THAT EVERY TEAM MUST HAVE AN
ASST. COACH. IF YOU DO NOT CURRENTLY HAVE SOMEONE YOU WOULD LIKE TO WORK WITH, WE WILL BE HAPPY TO RECRUIT ONE FOR YOU.)
NO IF YES, PLEASE INSERT NAME OF COACH:

DO YOU HAVE A CHILD IN THE AGE DIVISION THAT YOU ARE REQEUSTING TO COACH?(ONLY THOSE COACHING AGES 5-8 MAY REQUEST CHILDREN OTHER THAN THEIR OWN. FOR AGES 9+, YOU MAY ONLY REQUEST TO COACH YOUR OWN CHILD, OR IF YOU DO NOT HAVE CHILDREN IN THE DIVISION YOU ARE REQUESTING, YOU MAY REQUEST ONE CHILD.)
NO IF YES, PLEASE INSERT CHILD’S INFORMATION (LAST/FIRST / AGE/):
COACHING EXPERIENCE
HAVE YOU COACHED FOR MCCS SEMPER FIT YOUTH SPORTS (SFYS) OKINAWA IN THE PAST?
NO IF YES, PLEASE INSERT THE SEASON(S) YOU HAVE COACHED FOR SFYS (i.e. 2011 Soccer):

PLEASE SPECIFY ANY OTHER COACHING EXPERIENCES YOU HAVE HAD IN THE PAST OTHER THAN MCCS SFYS OKINAWA? (PLEASE INCLUDE DIVISION, LOCATION & YEAR(S):
PLEASE READ & UNDERSTAND THE FOLLOWING TERMS
*APPLICATIONS WILL NOT BE PROCESS/CONSIDERED IF ALL AREAS ARE NOT COMPLTED.*
A.) In consideration of volunteering for MCCS SFYS, I agree that my likeness may be photographed or video taped and that such image be published in an outlet to promote or publicize the sports program.
B.) In consideration of volunteering for MCCS SFYS, I authorize and give consent to SFYS to obtain information regarding myself. This includes, but is not limited to: (1) a Local Records, (2) Family Advocacy, (3) Counseling and Substance Abuse Center, and (4) CNACI background check. I authorize this information to be obtained either in writing or via telephone or email in connection with my volunteer application. In the event of a positive background record check, additional justification may be required in writing from the organization/applicant.
C.) PLEASE NOTE THAT SUBMITTING AN APPLICATION DOES NOT GUARANTEE A COACHING POSITION.Several factors are taken into account when selecting coaches to include but are not limited to: PMO, CSAC, Family Advocacy and CNACI background check results, coaching experience, questionnaire answers, good standing with any volunteer organization as well as number of vacant positions available. If you are selected as a coach, you will be notified by either phone or email and you will be asked to attend the mandatory Coaches Meeting at that time (Coaches Meetings are for selected coaches only).
D.) Please be aware that every team must have a registered Assistant Coach. Teams that do not have an Asst. Coach will be assigned one by SFYS if available. ASST. COACHES MUST BE RECRUITED AND REGISTERED WITH OUR OFFICE WITHIN FIVE (5) DAYS OF THE END OF THE REGISTRATION PERIOD. We will be unable to move any children of Asst. Coaches from one team to another after this date due to the completion of the team building process.
E.) I have read, understand and signed the Coaches’ Code of Ethics and MCCS Touch Policy located on the back of this form.
F.) By signing below, I agree that all information provided is true to the best of my knowledge and agree to all terms listed on this form.
PRINT NAME: ______SIGNATURE: ______TODAY’S DATE: ______
OFFICIAL USE ONLY

Coaches’ Code of Ethics

Provided by the National Youth Sports association (NYSCA)

I Hereby Pledge To Live Up To My Certification As A NYSCA Coach By Following the NYSCA Coaches’ Code Of Ethics:

I will place the emotional and physical well-being of my players ahead of a personal desire to win.

I will treat each player as an individual, remembering the large range of emotional and physical development for the same age group.

I will do my best to provide a safe playing situation for my players.

I will promise to review and practice basic first aid principles needed to treat injuries of my players.

I will do my best to organize practices that are fun and challenging for all my players.

I will be knowledgeable in the rules of each sport that I coach and I will teach these rules to my players.

I will use those coaching techniques appropriate for the skills that I teach.

I will remember that I am a youth sport coach, and that the game is for children.

I will read the NYSCA National Standards for Youth Sports and do everything in my power to assist all youth sports organizations to implement and enforce them.

If an issue should develop on the field or court between coach, referees, youth, and parents, this issue should be presented to an MCCS Youth Sports representative in a calm and professional manner or prepare a clear and factual written statement to facilitate resolution and or initiate an investigation. If written, it is to be submitted to Youth Sports within two working days. If resolution is not reached, military commands, inspectors, or other outside agencies will be notified.

Touch policy

Effective 30 January 2003bY Mccs

Physical touching is an important part of the care and nurturing of youth. Youth feel loved, accepted, and supported through the sensations of touch by nurturing adults and peers. However, physical touch should be respectful of youth’s body cues and only occur with their permission. Employee, contractors, and volunteers must be sensitive to youth’s responses and requests for physical interaction, model appropriate nurturing touches. Except for safety, youth will always have the right to refuse touch. Please read the following:

Affectionate nurturing touch is a vital for each youth’s emotional health. Affectionate nurturing touch includes shaking hands, a pat on the back, and/or a reassuring touch on the shoulder. Youth always have the right to refuse these touches.

Touches for restraint are only used to protect the physical safely of youth and staff or to provide the least restrictive guidance necessary in a given situation. Youth are taught through modeling and verbal guidance to use words rather than physical interaction top settle their differences with others. Touches of restraint should be done as a last resort to prevent a youth from injuring him/herself or others. In addition, touches of restraint should not be done in a humiliating or harmful way.

Inappropriate touch has a negative effect on the child, and usually involves exploitation of the child or the satisfying of an adult need at the expense of the child. An attempt to change a child’s behavior with adult physical force encourages the child to respond in kind. Examples of inappropriate touch include slapping, tickling, shaking, hitting, kissing, spanking, pinching, picking a child up by his/her arm, fondling, or molestation.

SIGNATURE: ______TODAY’S DATE: ______

Volunteer Questionnaire
(Please complete to the best of your ability):

1.) Why do you want to coach for us?
______
2.) What is your coaching philosophy?
______
3.) How would you handle discipline issues with your team? ______
4.) How do you/would you handle problem parents? ______
5.) How do you/would youassist a player that is struggling?
______
6.) Tell us your technique on how to motivate players?
______
7.) Have you ever gotten an unsportsmanlike penalty or been reprimanded by a referee/league? (If yes, please explain)
______
8.) If an issue comes up with what appears to be a poor/biased referee, how would you approach the situation?
______

(Please use reverse side if additional space is required.)
*For returning coaches, we ask that you complete this questionnaire only once a year. Your records are kept on file. If you have questions on when your questionnaire expires, please feel free to contact our office.

MARINE CORPS COMMUNITY SERVICES

VOLUNTEER SKILLS DEVELOPMENT PROGRAM

RELEASE AND HOLD HARMLESS AGREEMENT

I, ______, desire to volunteer my services to the MCCS Volunteer Skills Development Program. I agree that I am serving as a volunteer and that I am not, solely because of these services, an employee of the United States Government or any of its instrumentalities. I expect no present or future salary, wages, or related benefits as payment for my volunteer service. I am performing these services gratuitously and hereby waive any claim I may have against MCCS, Marine Corps Base Camp S.D. Butler, Okinawa, Japan; Personnel and Family Readiness Division, HQMC; and the United States Government salary, wages, or other compensation. I also hereby release MCCS, Marine Corps Base Camp S.D. Butler, Okinawa, Japan; Personnel and Family Readiness Division, HQMC; and the United States Government from any liabilities or claims arising from my volunteer services. These include personal injury, illness, death, and personal property loss or damage.

Volunteer’s Signature: ______Date: ______

NAF HRO Signature: ______Date: ______

UNITED STATES MARINE CORPS

PROVOST MARSHAL’S OFFICE

CAMP SMELDLEY D. BUTLER, OKINAWA

UNIT 35002

FPO AP 96373-5025

BACKGROUND RECORDS CHECK

PRIVACY ACT STATEMENT

PRIVACY ACT STATEMENT:This document falls purview to the Privacy Act of 1974. This requirement is to prevent an unwarranted disclosure to any person other than the one to whom the records or personal information pertains. Under the Privacy Act of 1974 , Reasonable care must be taken to ensure that personal information is not subject to unauthorizeddisclosure during records dissemination and disposal. Authority to request the following information is derived from 5U.S.C. 301, 10 U.S.C. 5031, Executive Order 9397, and DoD Instruction 1402.5 Implementing Public Law 101-847, Section 231, and Public Law 102-190, Section 1094.

PRINCIPLE PURPOSE: You have the right to challenge the accuracy of records under the provisions of DoD directive 5400.11

DISCLOSURE: Completion of this form is voluntary; and I hereby authorize the use of my name and social security number to be used for a background records check for the purpose of:

For the Purpose of Coaching Youth Sports

(PURPOSE FOR REQUESTING LOCAL RECORDS CHECK)

N/A

NAME (LAST, FIRST, MIDDLE) SSN RANK MOS

ORGANIZATION

DATE OF BIRTH PLACE OF BIRTH CITIZENSHIP

N/A N/A N/A N/A

CLEARANCE STATUS (DEGREE) BASIS COMPLETED BY (AGENCY) DATECOMPLETED

YOUR SIGNATURE: DATE:

The below to be filled out by PMO

RECORDS CHECK REVEALED: (Check the appropriate box)

NO RECORDS AVAILABLE.

RECORDS AVAILABLE; NO UNFAVORABLE INFORMATION INDICATED.

NOT RECOMMENDED TO WORK WITH/AROUND CHILDREN

THE FOLLOWING RECORDS:

______

***USE REVERSE SIDE OF THIS DOCUMENT IF MORE SPACE IS NEEDED***

CHECKED BY: ______

SIGNATURE: ______

DATE & TIME CHECKED: ______/______