Completed Application to: - PDF document

E-mail or Fax Completed Application
E-mail or Fax Completed Application to: FAWA State Office info@fawa.us or fax #: (877) 872-3292 Florida Amateur Wrestling Association – National Team Florida Coaching Staff Application: Name: Current USA Card #: Address: Home Phone: City, State, Zip: Cell Phone: E-mail: Applying For: ____ Cadet/Junior Nationals ____ Junior Duals ____JR Women Nationals ____ Folkstyle Nationals ____ Cadet Duals ____ Scholastic Duals ____ Kids Nationals ____ Schoolboy Duals ____ Southeast Regional ____ Other ________________________ Coaching History: FAWA Club: Years: High School: Years: College: Years: USA Wrestling: Years: PERSONAL REFERENCES Name: Phone: City, ST: E-mail: Name: Phone: City, ST: E-mail: Name: Phone: City, ST: E-mail: NCEP CERTIFICATIONS Copper: Date: Location Cert Received: Bronze: Date: Location Cert Received: Silver: Date: Location Cert Received: Gold: Date: Location Cert Received: INVOLVEMENT IN USA WRESTLING PROGRAMS USA Wrestling National Team Training Camps, include date and location: USA Wrestling Developmental Camps, include date and location: FAWA Programs and Special Events, include date and location: USA Wrestling Club Affiliations: USWOA Mat Official: In the remaining portions of this application, please provide us with reasons why we should select you to be a member of the Team Florida National Coaching Staff. If selected for an interview, you will be given ample opportunity to expand your presentation on all of these topics. If you need additional space to answer any question, attach extra pages as necessary. 1. What specific qualities and skills

do you feel you have to offer to the co
do you feel you have to offer to the coaching program? 2. What contributions have you made so far to advance the wrestling program and events of the Florida Amateur Wrestling Association? 3. It is expected that the national coaches devote time for personal supervision of training camps and competition. Your selection to the staff is dependent on your involvement in FAWA Special Events, FAWA State Programs, your local FAWA club and the mandatory training camp that precedes the National Team trip. Are you prepared to be this active in the FAWA National Coaching Staff? (please circle one) Y / N 4. Please indicate which FAWA State Championships and/or Special Event(s) you will be able to assist? FAWA TEAM FLORIDA COACHING STAFF AGREEMENT OF UNDERSTANDING This agreement sets forth the understandings and obligations between FAWA and the undersigned, hereinafter referred to as “Coach,” who, in acceptance of this agreement by signature below, agrees to the terms and conditions included herein. It is understood that in every instance appointment to the Team Florida Coaching Staff of FAWA, and assignment to any particular event or duty, is a matter of privilege and not a right. Revocation or expiration of such appointment shall give rise to no claim or cause of any nature whatsoever. Appointment of the Team Florida Coaching Staff (TFCS) shall be presumed to be for a period of 1 year only, being as of the date written below. Agreeable extensions of appointment may be made by a duly authorized officer of FAWA, in which instance this agreement shall continue in full force and effect without further witnessing or necessity for written renewal. Coach agrees not to advertise, promote, state, represent, infer or imply that he/she is a member of the TFCS if, in fact, he/she is not a member or their term of appointment has expired, nor shall Coach claim he/she is the Coach, Assistant Coach or other official for any event to which he/she has not been assigned by the Chairman or National Trip Coordinator of FAWA. Coach agrees that he/she will abide by and enforce all FAWA and USAW rules and regulations. Coach understands an

d agrees that the appearance of impropri
d agrees that the appearance of impropriety, favoritism, unethical, immoral or unbecoming behavior, as determined by the Team Leader, State Chairman and/or FAWA Board of Directors, in their sole discretion, shall give cause for immediate suspension or dismissal, and such action, if taken, shall be final and without recourse. Coach agrees to endorse and promote the products, services, agencies and programs to which USA Wrestling and FAWA have contractual agreements, either jointly or corporately. Coach further agrees not to endorse, promote, sanction, authorize, advertise or recommend any competing brand, product, service, organization or person at any event while serving his/her term as a member of the TFCS. Coach agrees that when on assignment as coach of or assistant to Team Florida, he/she shall be responsible to the Team Leader, the National Team Coordinator and State Chairman of FAWA. Coach agrees that when on assignment with TFCS to effectuate and enforce among athletes the rules promulgated regarding athlete eligibility, team membership and social and athletic responsibilities. Coach agrees to be filmed, photographed, videotaped or otherwise recorded while in the performance of his/her responsibilities as a member of the TFCS and herby assigns FAWA and USA Wrestling as his/her sole agent in the disposition thereof. Any such recordings, whether visual or auditory taken by or under the direction of FAWA and/or USA Wrestling, shall be the absolute property of FAWA and/or USA Wrestling and no further payment, compensation, consideration, authorization or release shall be necessary for any eventual use or disposition by FAWA and/or USA Wrestling. Coach agrees, by furnishing of his/her driver license information on the space provided, to a 10-year criminal background check to insure his/her eligibility to become a member of TFCS. Applicants convicted of felonies or otherwise unsavory acts within this time period are not eligible to become a member of TFCS. Driver License Number State Expiration Date I have read and understand the above and have completed this application truthfully. Signature Date