Coaches Application Name * First Name Last Name Address * Phone * (###) ### #### Email * Date of Birth * Age Group 16 U 18 U Coaching Position Head Coach Assistant Coach If you apply for a head coaching position but are not selected, would you accept an assistant coaching position? Yes No Previous Teams Coached * Have you ever been convicted of any felony crimes? Yes No Have you been removed or disciplined from any Sports Organization as a coach/manager in the last 5 years? Yes No Are you interested in bringing a team or group of players to the Lady Dukes CT? Yes No If Yes, how many players? Thank you!