Kadena Youth Sports & Fitness Program
Coach's Packet
Please fill out this packet if you have never coached with Kadena Youth Sports &Fitness before and you are affiliated with the US Armed Forces or are a Civilian.
Attached are two reference forms that you have to have filled out by two of
the three references that you will list on your application. Once completed,please return to our office.
When you return your application please provide a copy of your current Shot
Records or a waiver request for exemption.
Please note that we need all forms turned in for your application to be considered
complete and to be processed.

If you have any questions, please call Kadena Youth Sports & Fitness at
634-9126 or email 18FSS.FSFYS.youthsports@us.af.mil,or stop by our office at building 1850.

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Volunteer Coaching Application

Current Season Applying For: ______________________________
Did you coach this spo1t with Kadena Youth Sport & Fitness during previous season? ___________Name ______________________ Date of Birth ___________
Mailing Address _______________ APO/FP O _____ ZIP _________
Home Phone _______________ Duty Phone ________________

Primary E-mail Address -------------- Alternate --------------Branch of Service:
Rank: _____
Coaching Position Requested:

Office Symbol (if applicable) _______Head

Age Division Requesting: (Please Circle One)

Unit: --------

Assistant
5-6

7-8

9-10

11-12

13-15

· [6-18

Have you previously coached with Kadena Youth Sport & Fitness other than for the sport in which you are currently
applying? ________
Do you have a Head/Assistant Coach with whom you would like to coach with if possible? _________
Are there any nights on which you CAN NOT practice? ___________
Do you have child playing in the age division that you are requesting to coach? ________
Child's Name (First/Last): _ _____________________________

References: List three (3) references not related:
1. Name: _________________ Address: ---------------Phone: _______________ E-Mail: _______ __________
2. Name: ----------------- Address: ----------------Phone: --------------- E-Mail: -----------------3. Name: __________________ Address: ________________
Phone: _______________ E-Mail: ____ ______________

Kadena Youth Sport & Fitness Program

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If yes, Please explain the details:

Have you ever been an·ested, charged, or convicted of a crime? NoNo

If yes, Please explain the details:

Have you ever, or do you currently have a problem with drugs and/or alcohol? No

If yes, Please explain the details:

Have you ever been involved in an incident involving child abuse or neglect?

What experience do you have working with Children?

List Sports you have coached:Type of Sport: ________________ Age Division: ___________
Organization/league: __________ Number of Season: __________
Type of Sport: ________________ Age Division: __ _________
Organization/league: __________

Number of Season: __________

Type of Sport: ________________

Age Division: _ _______ ___Organization/league: __________

Number of Season: __________

List any formal training you have received in coaching: _____________________
List any formal training you have received in first aid or CPR: __________________

I acknowledge that the information I provide is true and accurate:
Print Name: __________________
Signature: __________________
Date: ____________________

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Reference Check:
Name of coach: ------------------------------I.

For candidates with experience working with children:a. How would you describe the candidate's knowledge of appropriate practice andprogram activities? ----------------------b. Does the candidates enjoy working with children and do children enjoy being withthe applicant? ------------------------c.

II.

How would you describe the candidate's ability to relate to parents? ______For all candidates:a.

How would you describe the candidate's ability to get along with others? ____

b. Does the applicant accept responsibility and follow through on assigmnent? ___c.

Is the applicant honest and trustworthy? ----------------

d. How would you describe the candidate's work-habits, punctuality, attendance, andattitude? --------------------------e.
III.

Would you recommend this person to be a Youth Sports Coach? _______

This candidates is rated with a:a. Favorable recommendationb. Unfavorable recommendation

Printed Name: --------------Signature: ----------------Date: ------------------

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Reference Check:
Name of coach: ------------------------------I.

For candidates with experience working with children:a.

How would you describe the candidate's knowledge of appropriate practice andprogram activities?_______________________

b. Does the candidates enjoy working with children and do children enjoy being withthe applicant? _________________________c.
II.

How would you describe the candidate's ability to relate to parents? ------For all candidates:a.

How would you describe the candidate's ability to get along with others? ----

b. Does the applicant accept responsibility and follow through on assignment? ___c.

Is the applicant honest and trustworthy? __________ ______d.

How would you describe the candidate's work-habits, punctuality, attendance, andattitude? ---------------------------

e.
III.

Would you recommend this person to be a Youth Sports Coach? _______

This candidates is rated with a:a.

Favorable recommendationb. Unfavorable recommendation

Printed Name: --------------Signature: ----------------Date: ------------------� ��ORCESUPPORT SQUADRON

Kadena Youth Sports & Fitness Program

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PHILOSOPHY

Our philosophy is that youth sports participants are most successful inenvironments that are positively challenging, supportive, safe, an adultsupervised. This is achieved by creating a wide array of opportunities foryouth to participate in organized recreational, social, educational,
developmental and physical activities.
Our emphasis is on participation by youth and teens in age-appropriate
individual and group activities throughout the respective programs weoffer.

Signature__________
Date------------

CoachTraini�g
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A
N �1'�1PJI' & Membership

COACHEXAM

These questions are meant as a review to help you understand the important information presented during thetraining video, as well as all the benefits of your NAYS membership. Your NAYS representative has the answer key toreview these questions with you.
Name: __________________ Sport: ________ Date: ______

1. Which of the following should be agoal of a volunteer coach?
a) Helping every child on the team learn
and improveb) Teaching all players how to handle
success and failurec) Making sure every child has fund) All of the above
2. Which of the following is the best
reason for volunteering to coach?
a) To showcase my child in the hopes offurthering their playing opportunitiesb) To be a positive role model for all theplayers on my teamc) To make sure my child gets the playing
time that they deserved) Because I was good at the sport
I am coaching
3. When coaching kids, it is important
to stress which of the following?
a) Focusing on the process of learningand developing skillsb) Instilling a win-at-all-costs attitude in
my playersc) Motivating players through fear
and intimidationd) Both B and C
4. When conducting practices, it isimportantthat coaches are:a) Preparedb) Passionatec) Positived) All of the above

5. Which of the following should NOT
be a part of any practice?
a) Long lines and lots of standing aroundb) Complimenting playersc) Teaching teamworkd) Providing feedback

11. What are the signs that an athlete
may be dehydrated?
a) Dizzyb) Headachec) Dry mouth and thirstyd) All of the above

6. It is important to do which of thefollowing when speaking to yourplayers during games?
a) Choose words carefullyb) Be aware of tone of voice andbody languagec) Speak loud enough so all the parents
can heard) Both A and B'"''"'' ''' ' . . . ' ''''' ''''".'.'" '''' '' '"' ''' , " '7. During games coaches should always
make sure to emphasize which of thefollowing to their players?
a) Good sportsmanshipb) Respecting officialsc) Doing your bestd) All of the above

12. Atthe conclusion of games whatshould coaches and their teams do?
a) Review every mistake that was madeduring the gameb) Shake hands with opposing players
and coachesc) Talk to the officials about the calls that
didn't go their team's wayd) None of the above..

..

8. A proper cool down after practice:a) Involves high intensity activity, like sprintingb) Helps recovery for the next dayc) Involves light jogging and stretchingd) Both B and C
9. If a child suffers a bloody nose whatshould a coach do?
a) Remove him/her from the practice or gameb) Apply icec) Notify the child's parentsd) All of the above
10. Which of the following is a good
pre-game snack for a young athlete?
a) Piece of fruitb) Cheeseburgerc) Cupcaked) All of the above

Yo!!thSports.Jaut·11sA • WWW.NAYS.DAG

13. Which free trainings do NAYS
coaches have access to throughtheir Member Page?
a) Bullying Preventionb) Coaching Children with Mental
Health Challengesc) Protecting Against Abused) All of the above
14. What is the function of the online
Coach Rating System that isincluded with your membership?
a) To get honest and anonymous feedback
from parentsb) To pinpoint areas where I may need
improvement as a coachc) To allow the league to see how I am
doing in the eyes of the parents of thechildren I am coachingd) All of the above

I hereby pledge to live up to my certification as a NAYS Coach by following the
NAYS Code of Ethics for Coaches:•

I will place the emotional and physical well being of my players ahead of apersonal desire to win.

•

I will treat each player as an individual, remembering the large range ofemotional and physical development for the same age group.

•

I will do my best to provide a safe playing situation for my players.

•

I promise to review and practice basic first aid principles needed to treat injuriesof my players.

•

I will do my best to organize practices that are fun and challenging for all myplayers.

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I will lead by example in demonstrating fair play and sportsmanship to all myplayers.

•

I will not cheat or engage in any form of unethical behavior that violates league
rules.

•

I will provide a sports environment for my team that is free of drugs, tobacco, andalcohol, and I will refrain from their use at all youth sports events.

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I will be knowledgeable in the rules of each sport that I coach, and I will teachthese rules to my players.

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I will use those coaching techniques appropriate for all of the skills that I teach.

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I will remember that I am a youth sports coach, and that the game is for children
and not adults.

_________________________
Coach Signature© National Alliance for Youth Sports_________________________Date

DEPARTMENT OF THE AIR FORCEPACIFIC AIR FORCESMEMORANDUM FOR AIRMAN AND FAMILY SERVICES FLIGHT STAFF,VOULUNTEERS,CONTRACTORSFROM:

18 FSS/FSF

SUBJECT: !,'I'.tiffl, *lj&), �iiHrf�--:,"'(O)�i!,mHc:01,,--cChild Abuse, Drug and Alcohol Crime Statement
1. f:f,.f';J:!,'I'.iiriffl'i tdi*lj&J, ��� a-{�-:, --c O)]liJ#fiib � 'i-lt Iv" t L-�J'IH& f;: ,t O) J: 5 tt:;Jl:"t:'�B�a-�B l,,f;:r&.g-fi, �JBG�:Si.l�"f�n°iTo
I have never been arrested or convicted of any crime involving children, drugs, or alcohol. I further
understand if a situation arises after initial hire, I could receive disciplinary action including removal frommy position.
2. *lj&}�71v:::I-1v�{f-e !J ,, 1::· !J i:pO)fJE�.ill :a-�till>7.i J: 5 f;:�ll>'iTo :!WJ�i:pf;:�lj&J�
7 /]/::I -1v:a:1'l'O& l,, td.11::m.ill fill'Jj;JBG�:$:)-7.1l"f �;I'!,'£ To
Every effort will be made to identify employees who abuse alcohol and drugs and assist them withrehabilitation. Disciplinary action may be taken against any employee whose work performance isaffected by use of alcohol or drugs.
3. iJ1!;/JO ll!r� 'it;: fi!,'I'. :ilr.1l1<\'f;: 0 It, --c O)Ji�%fi!,'I'.:ilr.1l1<\'0) I- v--= :,, :P''W(;f;;J-0) i:p f;: ib � 'i -t"
Additional information or child abuse prevention, identification and reporting are available in theinitiaVannual child Abuse training materials.
4.

::. O)il!'ilii f;:01, ,--clf(Fo��;ol ibn!'i, fL '£ 1: �it� "f � v 'o (634-2775)
Please contact me at 634-2775 for any questions for further information on this crime statement.

MELISSA WESLEY, GS-13, DAF
Chief, Airman and Family Services Flightf.lfi.J:Jc\O) :J5'* a-jjjt7;.'@)l\; l,, '£ l,, f;: oI have read and understand the above policy,

J::'<;q:, (Printed Name) :¥q:, (Signature):

13 {t Date------

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YOUTH SPORTS VOLUNTEER JOB DESCRIPTIONTITLE:

Kadena Youth Sports & Fitness Volunteer CoachDESCRIPTION:*Coach of male or female athletes between the ages of 5-18.
*You will be considered a role model for 10-23 (depends on season) young
athletes assigned to your team; therefore sportsmanship, fair play, and fullparticipation are mandatory.

RESPONSIBILITIES:*Plan and supervise games, practices, and events.
*Supervise assistant coaches, managers, or team parents.
*Teach the young athlete the fundamentals of the sport.
*Encourage the involvement of the parents in the sport.
*Schedule and conduct parent and other necessary meetings.
*Provide a safe and fun environment for the children.
*Learn and follow all league rules, policies, and procedures.
*Give ea_ch player equal playing time.
* Put the feelings of the players ahead of your desire to win.
*Attend all league functions and participate in league activities.

QUALIFICATIONS:*Successfui'ly complete the application procedure and pass a background·
check.
*Attend any_scheduled coaching interviews or meetings.
*Successfully complete the National Youth Sports Coaches Association(NYSCA) Certification Program prior to the beginning of the season.
* Be enthusiastic.
* Not want to win at all costs.
* Must be patient, especially with children.
*Be organized.
*Be dependable.

INFORMATION:

As a volunteer coach, you are treated by local;-state, and federal law as being
an unpaid employee of the agency in which you are associated with; therefore,
you must conduct yourself in the same-manner as you would your own job. In
the same respect, you will receive the same treatment, aside fromcompensation and benefits, as the employees of Kadena Youth Sports &Fitness.

I agree that I have read and understand the above job description for a youth sports coaching position,and that I accept the terms of the job description.

Applicant Signature

Name (Printed)

Date

Please note: Failure to sign this page will render the application incomplete 3nd unacceptable.

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VOLUNTEER AGREEMENT FOR
APPROPRIATED FUND ACTIVITIESNONAPPROPRIATED FUND INSTRUMENTALITIESPART 1- GENERAL INFORMATIONTYPED NAME OF VOLUNTEER (Last, First, Middle Initial)

2. YEAR OF BIRTH

3. INSTALLATION

4. ORGANIZATION/UNITWHERE SERVICE OCCURS

5. PROGRAM WHERE SERVICE OCCURS

6. ANTICIPATED DAYS OF WEEK

7. ANTICIPATED HOURS

8. DESCRIPTION OF VOLUNTEER SERVICESPART II· VOLUNTEER IN APPROPRIATED FUND ACTIVITIES
9. CERTIFICATION
1 expressly agree that my services are being provided as a volunteer and that I will not be an employee of the United States
Government or any instrumentality thereof, except for certain purposes relating to compensation for injuries occurring during theperformance of approved volunteer services, tort claims, the Privacy Act, criminal conflicts of interest, and defense of certain suits
arising out of legal malpractice, I expressly agree that I am neither entitled to nor expect any present or future salary, wages, or otherbenefits for these voluntary services. I agree to be bound by the laws and regulations applicable to voluntary service providers andagree to participate in any training required by the installation or unit in order for me to perform the voluntary services that I am
offering. l agree to follow all rules and procedures of the installation or unit that apply to the voluntary services I will be providing.
a. SIGNATURE OF VOLUNTEER

b. DATE SIGNED (YYYYMMDD)

10.a. TYPED NAME OF ACCEPTING OFFICIAL

b. SIGNATURE(Last, First, Middle Initial)c. DATE SIGNED (YYYYMMDD)PART Ill· VOLUNTEER IN NONAPPROPRIATED FUND INSTRUMENTALITIES
11. CERTIFICATION

I expressly agree that my services are being provided as a volunteer and that I will not be an employee of the United States
Government or any instrumentality thereof, except for certain purposes relating to compensation for injuries occurring during theperformance of approved volunteer services and liability for tort claims as specified in 10 U.S.C. Section 1588(d)(2). I expressly agree
that I am neither entitled to nor expect any present or future salary, wages, or other benefits for these voluntary services. I agree tobe bound by the laws and regulations applicable to voluntary service providers, and agree to participate in any training required by the
installation or unit in order for me to perform the voluntary services that I am offering. I agree to follow all rules and procedures of theinstallation or unit that apply to the voluntary services that I am offering.
a. SIGNATURE OF VOLUNTEER

b. DATE SIGNED (YYYYMMDD)

12.a. TYPED NAME OF ACCEPTING OFFICIAL

b. SIGNATURE

c. DATE SIGNED (YYYYMMDD)(Last, First, Middle Initial)

PART IV - TO BE COMPLETED AT END OF VOLUNTEER'S SERVICE BY VOLUNTEER SUPERVISOR
15. TERMINATION DATE
14. SIGNATURE
13. AMOUNT OF VOLUNTEER TIME DONATED
a. YEARS (2,087
hours= 1 year)

b. WEEKS c. DAYS(YYYYMMDD)

d. HOURS

16.a. TYPED NAME OF SUPERVISOR

b. SIGNATURE

DD FORM 2793, MAY 2009PREVIOUS EDITION IS OBSOLETE.

(Last, First, Middle Initial)c. DATE SIGNED (YYYYMMDD)

Adobe Professional 8.0

Kadena Youth Sports & Fitness
Mission Statement

To assist DOD military and civilian
personal in balancing thecompeting demands of theaccomplishment of the DOD
mission and family life bymanaging and delivering a systemof quality, available andaffordable programs and services
for eligible children and youth
from birth through 18 years of age