Please fill out this application as completely as possible. The more information we have the easier it will be for us to schedule visits that are maximally valuable. You can select up to five coaches that you’d like to visit but please only list as many as you think would be impactful for you – quality over quantity.
In 2018 we will continue to consider funding for an outside opportunity, for you or an assistant coach or service provider, in place of a club visit. For example; a strength and conditioning course or conference, a sports psychology summit, or another educational opportunity focusing on an area of interest and need. Please note, this does not include ASCA, USAS Convention or CSCAA.
The form is fillable using Word or if you prefer you can print it, fill it out by hand, scan it, and send it back to us. Please email your completed application to Matt Barbini . If you have any questions feel free to reach out to Matt via email or phone (719-330-4603) at any time.
BASIC INFO
NAME: Click here to enter text.
CLUB: Click here to enter text.
EMAIL: Click here to enter text.
PHONE: Click here to enter text.
PREFERRED COMMUNICATION METHOD (CHOOSE ONE OR TWO): PHONE ☐ EMAIL☐ TEXT ☐
PREFERRED TIME OF YEAR TO VISIT (GENERAL OR SPECIFIC DATES): Click here to enter text.
COACHES / CLUBS I WOULD LIKE TO VISIT (IN ORDER OF PREFERENCE)
COACH / CLUB NAME: Click here to enter text.
WHY WOULD VISITING THIS COACH / CLUB BENEFIT YOU AS A COACH AND YOUR PROGRAM AS A WHOLE?
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COACH / CLUB NAME: Click here to enter text.
WHY WOULD VISITING THIS COACH / CLUB BENEFIT YOU AS A COACH AND YOUR PROGRAM AS A WHOLE?
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COACH / CLUB NAME: Click here to enter text.
WHY WOULD VISITING THIS COACH / CLUB BENEFIT YOU AS A COACH AND YOUR PROGRAM AS A WHOLE?
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COACH / CLUB NAME: Click here to enter text.
WHY WOULD VISITING THIS COACH / CLUB BENEFIT YOU AS A COACH AND YOUR PROGRAM AS A WHOLE?
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COACH / CLUB NAME: Click here to enter text.
WHY WOULD VISITING THIS COACH / CLUB BENEFIT YOU AS A COACH AND YOUR PROGRAM AS A WHOLE?
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ARE YOU INTERESTED IN HOSTING A VISIT?
PLEASE CHOOSE ONE:
I AM INTERESTED IN HOSTING A VISIT ☐
I AM NOT INTERESTED IN HOSTING A VISIT ☐
ASK ME LATER ☐
PREFERRED TIME OF YEAR TO HOST: Click here to enter text.
OUTSIDE OPPORTUNITY
PLEASE DESCRIBE THE OUTSIDE OPPORTUNITY THAT YOU ARE INTERESTED IN, WHAT YOU HOPE TO ACHIEVE WITH THIS OPPORTUNITY, AND HOW IT WILL BENEFIT YOU AS A COACH/YOUR PROGRAM AS A WHOLE. IF YOU ARE REQUESTING THIS OPPORTUNITY FOR AN ASSISTANT COACH PLEASE INCLUDE THEIR NAME AND ANY OTHER RELEVANT INFORMATION.
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PLEASE RANK THIS OPPORTUNITY IN ORDER OF PREFERENCE WITH YOUR CLUB VISITS? Click here to enter text.
ANYTHING ELSE WE SHOULD KNOW ABOUT?
If there’s anything else that we should know about with regard to your application or your interest in this program please tell us below.
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