Kingston United Soccer Club

Volunteer Application

* are required.

Last Name:*

First Name:*

Birthdate:*

	/		/
YYYY		MM		DD

Gender:*

Male Female

Street:*

Apartment/Unit:

City:*

Postal Code:*

Home Phone:*

Format: 613-555-5555

Email:*

Current CPIC:

Organization:

Coaching History

Coaching Experience:*

None Returning Coach

OSA Coaching Level:

NCCP Passport #:

If you want to obtain your NCCP #
please call the Coaching Association of Canada office
in Ottawa at 613-235-5000 or visit www.coach.ca

Other Level:

Last coaching clinic attended:

Name & When

Please check our website for 2009 coaching clinics.

References

Name 1:*

Relationship to you 1:*

Address 1:*

Phone 1:*

Format: 613-555-5555

Name 2:*

Relationship to you 2:*

Address 2:*

Phone 2:*

Format: 613-555-5555

Programs

Please check every position/program that you are interested in volunteering for.

In order to participate in the Kingston United Soccer Club, you must agree to the KUSC Code of Conduct.

KUSC Code of Conduct
1. As a KUSC representative (coach, referee, convenor ...) you will not be alone in the presence of any one registeredplayer of KUSC. That means no one-on-one in a private setting such as a car, room or other location out of public view or awareness, excluding family members for whom you are responsible. 2. All KUSC officials will conduct themselves respectfully in speech and action when involved in any KUSC approved activities. 3. Parents have an obligation to ensure that they do not place their child in a situation that might compromise the safety of their child. 4. Parents also have an obligation to report immediately any incident or concern to the appropriate convenor.
I ACKNOWLEDGE MAKING THIS AGREEMENT
I, , have read and understand KUSC's Code of Conduct and agree to abide by the code. I will maintain a high standard of personal conduct, exercise fair play, treat players, officials and all members of KUSC with respect, and I will refrain from any actions, verbal or physical, that might be deemed to be offensive. I will abide by the rules of KUSC, and any leagues or tournaments that I may be involved in. I will be prompt and dependable. I will agree to a CPIC background check. I Agree No, I do not agree