Job Application

First Name *   Middle Name Last Name *   Date of Birth (mm/dd/yyyy) *     Permanent Resident of *   City / Place of Birth *   Country of Birth *   Citizen of *   Do you have a valid Driver's License ? Please select Yes No   Shirt (Uniform Size) Short (Uniform Size)

Number / Street *   Number / Street 2 City / Town *   State / County *   Postal / Zip Code *   Country *   Email Address *     Phone Number Mobile / Cell Number Work Phone Number

Name Relationship Telephone

Have you ever been cautioned, arrested or convicted of a criminal offense or are at present, the subject of a criminal investigation? (Including spent cautions, arrests on conviction) Please select Yes No   If yes, explain Have you ever been charged with or convicted of sexual abuse or molestation ? Please select Yes No  

Please mark all that apply

• School Teacher
• UEFA A License
• UEFA B License / Level 3
• UEFA C License / Prelim / Level 2
• F.A Level 1
• F.A Junior Team Managers
• CLSA
• Treatment of Injuries
• CPR / First Aid
• Junior Leader

Please describe your coaching experience: *   Please describe your playing experience: *   Are you a goal keeper ? Please select Yes No   If yes, please describe your goal keeping playing / coaching experience: Other Courses Pending Expected date(s) of award / completion (mm/dd/yyyy)

Please provide information on your most recent employer: *   Employment Status *   Present Occupation *   Name of Employer *   Address *   City / Town *   State / County *   Postal / Zip *   Contact Person *   Phone *  

Name of University / College *   City / Town *   Course of Study *   Year of Study *  

Have you previously entered the USA on a working visa ? Please select Yes No   If yes, when ? And what type of visa ? Have you ever worked in the USA before ? Please select Yes No   If yes, what years and who was your employer/camp for each year ?

What are your strongest qualities ? *   Do you prefer to work alone or with a group ? Why *   Why do you want to work for Ashley's Soccer Camp ? *   What do you think will be your greatest difficulty in working overseas and why ? *   Why should Ashley's Soccer Camp choose you as a participant ? *   Tell us about your interests, hobbies or activities: *   Where did you hear about Ashley's Soccer Camp ? *