ODP Midwest Regional Staff Application

*Please Note*: If you were part of the 2022 Regional Summer Staff, you do not need to fill this application out for the 2023 Summer unless your information has changed.

Which staff position are you applying for? *

Regional Support Staff (support HC and AC in a specific age group)

Regional Age Group Head Coach

Regional Age Group Assistant Coach

Which Summer ID Event are you applying for? *

Girls (July 7th-9th, 2023)

Boys (July 14th-16th, 2023)

First Name (Please make sure this matches a government ID as this will be used to book flights) *

Last Name (Please make sure this matches a government ID as this will be used to book flights) *

What academy/club, high school, or college/university program are you currently coaching for? *

Position at current program (Head Coach, Assistant Coach, etc.)

Email Address *

Phone *

Date of Birth (Please make sure this matches a government ID as this will be used to book flights) *

Safesport Number (if you do not have one, please put N/A, but you must pass safesport training in order to be considered a regional or national staff member) *

Closest Airport to travel out of *

State of Residence: *

Shirt size: *

Short size: *

Reference 1: Name, Email, and Phone Number (Required if no prior Regional Staff experience)

Reference 2: Name, Email, and Phone Number (Required if no prior Regional Staff experience)

Please list your experiences with any State Association program and number of years with each State Association. For Example: Arizona ODP, 5 years.

Please list your experiences with any Region staff and number of years with each Region. For Example: West Region, 5 years.

What is the highest level of license you hold (USSF, UEFA, United Soccer Coaches)? *

Linkedin Link

Resume Upload

Please Read USYS Code of Conduct Policy and USYS Financial Policy. *

I have read, understood, and will adhere to the USYS Code of Conduct Policy and the USYS Financial Policy.

I do not agree with USYS policy and acknowledge that my application will not be accepted.

Additional Notes (For example, specialty areas)

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This is an application. There is no guarantee of employment upon completion.