Be A Coach

BACKGROUND CHECK: In compliance with state law, GFAC conducts background checks, including references and criminal background, on all coaches to insure the safety of coaches and girls in our program. In order to cover the cost of background checks, GFAC charges $25 to all coaches. (Financial assistance is available).
Please indicate how you would like to cover the fee and then answer the two questions that follow:*
- Check Included (Make check payable to GFAC)
- I’ll pay at coach orientation
- I am requesting financial assistance for $25
Explain why you need financial assistance*
Have you ever been convicted of a crime?*
- Yes
- No
If yes, please state the offenses, date and location
2. Is there a fact or circumstance involving your background that would call into question you being entrusted with the supervision, guidance and care of youth or money?*
- Yes
- No
If yes, please explain. (A registered sex offender living in your household is cause for automatic disqualification.)*
Each coach is required to be before starting with a team. Coaches must complete a background check. We can NOT share your results with other agencies. We will send qualified coaches materials regarding background screening. Depending on the agency the cost of fingerprinting varies between $20-$25. (Financial assistance is available). YOU MUST BE FINGERPRINTED BEFORE YOU BEGIN COACHING.
Check to agree to background checks from GFAC*

REFERENCES You must have a complete mailing address for each reference. References are called and asked to participate in a 15 minute call. Include someone who knows your skills and abilities working with youth and at least one person who has known you for 2 years.
Reference #1 Name*
First Last
Reference #1 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference #1 Email*
Reference #1 Phone*
Reference #2 Name*
First Last
Reference #2 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference #2 Email*
Reference #2 Phone*
Reference #3 Name*
First Last
Reference #3 Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference #3 Email*
Reference #3 Phone*

RELEASE I hereby apply to be a coach with GFAC and agree to all requirements for coaching stated in this application. I consent that Girls For A Change may use videotapes, photographs, motion pictures, electronic images and/or audio recordings in which I appear for public relations and publicity purposes. I certify that all information provided on this application is true and complete. I understand that falsification or significant omissions of any information may be considered justifications for dismissal if discovered at a later date. I authorize the release of information requested from references.
Check to agree to Release Agreement*
Signature*
Date*
MM slash DD slash YYYY
GFAC evaluation process presents a unique professional development opportunity for Coaches. As part of the evaluation, Coaches will be asked to fulfill evaluation requirements that take 1-2 additional hours of volunteer time each month. Coaches will participate in additional youth development training, have access to research based materials and implement new activities to the GFAC program. Please check that you agree to participate in our evaluation program.
Check to agree to the evaluation*
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