COACHING COURSE APPLICATION
SPONSORING ORGANIZATION ________________________________
Course Type__________ (Specify Youth Module I, Youth Module II, Youth Module III or E, D)
REQUESTED DATE(S) FOR COURSE ___________________ALT.DATE _________
COURSE COORDINATOR: (This person is the contact person responsible for organizing and setting up the course and site preparations)
Name: ________________________________ Phone (H) _________________
Address: ________________________________ (W) _________________
________________________________ (C) _________________
Coordinators Email Address:_______________________________________________
COURSE LOCATION: (This site must have:(a) Good to excellent field with goals, nets, corner flags, & markings (b) classroom or meeting room for lectures with blackboard or white board (c) projection screen or area to project image.)
LOCATION of SITE: ____________________________________________
ADDRESS of SITE: _____________________________________________
(Please attach good site directions to this application)
*A completed Application must be received by MSYSA before a course can be approved and scheduled.
MAIL APPLICATION TO: MSYSA/Course Coordinator
PO BOX 667
Millersville, MD 21108
FOR MORE INFORMATION: (410) 987-7898
For MSYSA Office Use Only:
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Date Application Received
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Date |
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Confirm with Director of Coaching
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Inform Regional Commissioner
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Confirm Sponsoring Organization
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Appoint Course Instructor
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Instructor: |
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Course Material Sent
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Facility Fee Required?
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Yes or No |
If yes the amount: |
$ |
