Wufoo
Maltby Pony Baseball Coach's Application
As part of the process of filling coaching positions a “Coaches Selection Committee” comprised of board representatives (President, Player Agent, and Division Directors) will review the applications of all returning and prospective coaches and then decide how coaching positions will be filled. The review results along with previous baseball/coaching experience, tenure within the system, parent feedback, and feedback from other coaches and board members will be considered in the selection process. All head & assistant coaches must complete this application to be considered for a coaching position by the committee. This process will occur every season.
By submitting this form, you certify that the following:
That the information below is complete and accurate.
That I have been advised that a background check will be made under the Child/Adult Abuse Information Act.
That I will read the Coach’s Code of Conduct and accept and agree to abide by this code.
Full Name (First / Middle / Last)
*
Alias/Maiden Name(s) (if any)
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Democratic Republic of the Congo
Republic of the Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Email
*
Primary Phone
*
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Secondary Phone
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Date of birth
*
MM
/
DD
/
YYYY
Required for background check
Drivers Licence # - Please Indicate State
*
Required for background check
Sex
*
Male
Female
Required for background check
Race
*
Requried for background check
Which division are you applying to coach?
*
Shetland
Pinto
Mustang
Bronco
Pony
Position Desired
*
Head Coach
Assistant Coach
If no Head Coach positions are available, would you be willing to be an Assistant Coach?
Yes
No
Maybe
If no Assistant Coach positions are available, would you be willing to be a Head Coach?
Yes
No
Maybe
Were you a Maltby Pony Baseball coach in 2011?
*
Yes
No
Position held in 2011
Head Coach
Assistant Coach
Which division?
Shetland
Pinto
Mustang
Bronco
Pony
Which team?
Are you planning on returning to the same team within that division?
Yes
No
Please list prior youth baseball coaching experience.
*
Please list other coaching experience.
*
Have you ever been ejected, suspended, or otherwise faced disciplinary measures as a youth sports coach?
*
Yes
No
If yes, please explain in detail
Please describe your coaching philosophy. Specifically, what are your goals in coaching youth sports? What motivates you as a coach?
*
Summarize your coaching experience last year. What went well? What didn't? What would you do differently?
*
How would you characterize your past relations with players? With parents? Other coaches? Officials?
Others associated with MBP? Any issues of note?
*
How would you describe your coaching style?
*
Are there any other considerations, requests, or special situations that the selection committee should be aware of?
I have read and understand the
Lystedt Law Compliance Document
which discusses important information regarding concussions and youth sports
*
I have read and understand this document
I have read and understand the
MPB Bylaws
and agree to abide by the policies outlined regarding coach's responsibilities and behavior.
*
I have read and understand this document
Do Not Fill This Out