Coach's Name: Team Requested: Any Available - Developmental CoedAny Available - Developmental GirlsAny Available - Competitive CoedAny Available - Competitive GirlsU10 Developmental - CoedU10 Developmental - GirlsU11 Developmental - CoedU11 Developmental - GirlsU12 Developmental - CoedU12 Developmental - GirlsU13 Competitive - CoedU13 Competitive - GirlsU14 Competitive - CoedU14 Competitive - GirlsU15 Competitive - CoedU15 Competitive - GirlsU16 Competitive - CoedU16 Competitive - GirlsU17 Competitive - CoedU17 Competitive - GirlsU18 Competitive - CoedU18 Competitive - GirlsU19 Competitive - CoedU19 Competitive - Girls
Planning to enter the following FYSA competition: State Cup Region Cup Not Sure/Neither
Planning to play in the following League: Brevard Youth Soccer League Greater Central Florida League Other
If you selected Other, please specify:
Coach's Address (Street Address, City, Zip Code): E-mail Address:
Home Phone (numbers only): Work Phone: Cellular Phone:
Plan to Coach my Child or a Relative: Yes No If Yes, Name: Birthdate:
Years of Coaching Recreational Club Soccer (specify age groups):
Years of Coaching Competitive Club Soccer (specify age groups):
Years of Coaching School Soccer (specify levels & which schools):
Other Coaching Experience (Please specify such as O.D.P., etc.):
Coaching License and/or Certificates Held:
Name of Proposed Assistant Coach(es):
Assistant Coach(es) Experience/Licenses/Certificates:
What additional training/licenses/certificates are you planning to achieve over the next year?
Do you intend to be paid for your services? No Yes - How much per season?
Identify objectives, training, and goals for the next season.
If Space Coast United Soccer Club required you to use the services of a "Club Trainer", will you do so? Yes No
If No, please explain:
What other soccer clubs do you work with?
List other soccer teams that you plan to continue to train or coach and their affiliation:
Have you ever been suspended by the FYSA or expelled by another soccer organization? Yes No
If Yes, please explain including dates suspended:
Please briefly describe your coaching philosophy relative to practices and games: Please add any additional information that you feel would be helpful during the selection process: If there are enough players to warrant two teams in a given age group (U11 - U19 comp teams only), then would you be willing to coach the second team given that it will be more developmental than the first team? Yes No Maybe If No or Maybe, please explain:
If there are not enough players to warrant two teams in a given age group or in the event that you are not selected as a Head Coach, then would you be willing to be an assistant coach? Yes No Will consider it Would you, if requested by the Club, continue your coaching education to meet the needs of the players? Yes No Please read the following "Requirements of the Space Coast United Soccer Club's Developmental and Competitive Coaches" very carefully and be prepared to check the box at the bottom to signify your full agreement to the Requirements.
General Rules for all Age Groups
Additional Requirements for Developmental Age Groups (U10 – U12)
Tryout format for all Age Groups
Additional Requirements may be provided by the Director of Select Teams or the SCUSC Board of Directors.
Provided I am selected as a Competitive Coach for Space Coast United Soccer Club, I promise to abide by all of these rules, the by-laws and codes of conduct of the FYSA and SCUSC or face the consequences levied by the SCUSC Board up to and including termination as a coach within our club. I fully agree I do not fully agree