Application to Coach

By submitting this Application to Coach, I am certifying to Massachusetts Youth Soccer that all of the information contained in this Application is true and correct. I am also certifying that, in accordance with state law, I have submitted or will submit my Adult Registration to Massachusetts Youth Soccer and for a criminal background check (CORI). I will also complete Safe Sport Abuse & Prevention training and US Soccer Recognize to Recover concussion training, once a year.

Please note, all Coaches selected for the District Select Program will be required to submit a W9 form, confirming eligibility to receive the DSP Coach auto stipend. 

Coach Position Sought
I am applying for a coaching position in the Massachusetts Youth Soccer... *
Are you a W2 employee of Mass Youth Soccer? *
What programs do you work with in Mass Youth Soccer? *
Personal Information
Coaching Education
Coaching Experience
Present Coaching Position(s)
Prior Coaching Positions
Playing Experience
Resume (Optional)

Mission Statement (Optional)
Please indicate the name and email address of two (2) references.
Coach Certification *