ODP Midwest Regional Staff Application

*Please Note*: If you applied last year, your application is good for 2 year on file. You only need to fill this out if did not fill one out last year or if your information changed.

Which staff position are you applying for? *

Regional Age Group Head Coach

Regional Age Group Assistant Coach

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

Which Summer ID Event are you applying for? *

Girls (July 8th-10th, 2024)

Boys (July 12th-14th, 2024)

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.