2016 Chicago Fire Unified Soccer Team

Coach Application Form

Application Process for Coaches:

·  All applicants must complete Application Form

·  All applicants must attach a current resume and 2 references, along with 1 letter of recommendation

·  All Application Forms, resumes and references must be submitted by February 5, 2016.

·  Selected interviews will be conducted February 9, 2016 3-7pm at Toyota Park with final coach selection by February 15, 2016

General Information Please print or type

First Name______Last Name______

Mailing Address______

City______State______Zip Code______

Daytime Phone______Evening Phone______

Cell Phone______

Email Address______

Area Number______Agency Name______

Have you attended the mandatory Special Olympics Unified Soccer Certification required to coach this sport? Yes _____No __

Other National Governing Body Certifications (please list)? ______

______

Detail your coaching experience, in Special Olympics, for Unified Soccer:

Detail your coaching experience, beyond Special Olympics, for Unified Soccer:

What qualities do you have that will support the overall success of the team?

Do you speak a language, other than English, fluently? YES NO

If yes, please list the language(s):______

Are you currently certified in any of the following? Date of Expiration

·  First Aid YES NO ______

·  CPR YES NO ______

·  Sign Language YES NO ______

Other ______

Do you have any previous experience with National and/or World Games? YES NO

If yes, then please explain:

Are you able to commit to planning and attending monthly trainings and to travel and stay with the team for the entire length of game travel? YES NO

Can you meet all Pre-Games, Game Time and Post Games requirements as described in the Coach Job Description? YES NO

References: please include with resume.

Signature of Applicant Date

Return this form, a current copy of your resume and a letter of recommendation by

February 5, 2016 to:

Jennifer Marcello

500 Waters Edge Suite 100

Lombard, IL 60148