Volleyball Coaching Application

* Required Fields
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By filling out and signing this form, you understand that the Ocean Springs Parks and Recreation Department reserves the right to contact your employer, obtain any criminal history, and conduct a full background check by any means necessary. 

Sports Information

*Final age divisions will be contingent on registration numbers. 

*Desired Role/ Position
 Head Coach 
 Assistant Coach 
Co-Ed Mini Volleyball
Mini Volleyball 5-6
  
Girls Fall Volleyball 
Girls Fall Volleyball 11-12
  
Girls Fall Volleyball 13-14
  
Girls Fall Volleyball 15-16
  
Summer Volleyball 
Girls Summer 7-8
  
Girls Summer 9-10
  
If you are registering your child(ren), please list their name(s) below so we can add them to your team.
Child(ren)’s Name(s):
If you have a coaching partner, please list their name below.
Head Coaches and First Assistant Coaches will have their child (if applicable) placed on their team as a benefit of their role. Thank you for volunteering to coach!
Coaching Partner:

Personal Information

*Name- First
*Name- Last
*Date of Birth (MM/DD/YYYY)
SSN
*Driver License Number
*State of issuance:
*Address
*City
*State
Don't type in this field
*Zip Code
*Primary Phone Number
*Email Address

Coaching Experience

*Have you coached youth sports before?
 Yes 
 No 
*List all organizations you have coached with

Police Record
Have you been arrested for, charged with, or convicted of any offense as an adult?
*Record
 Yes 
 No 
If yes, please explain.

Applicant Acknowledgments and Digital Signatures

The mission of the Ocean Springs Parks and Recreation department is to provide a fun, recreational, and learning environment in which children can learn the fundamentals of sports, and acquire experience in good sportsmanship, honesty, team unity, and respect. The league is designed with each child's best interest in mind and will not tolerate any acts of aggression, irresponsibility or any other type of abuse or bad sportsmanship by players, parents, or coaches.

I fully understand and agree to abide by the mission and procedures of the Ocean Springs Parks and Recreation department at all times while engaged in any event involved with the youth sports league. 

*Electronic Signature
 Select yes to indicate agreement. 

Having made application for head / assistant coach with the City of Ocean Springs Parks and Recreation department, I hereby authorize the City to research and make inquiry of my history and records including academic, military, employment, judicial, criminal, driving record, personal references, and/ or online social networking pages. I further authorize the release of all such information to the city and I agree that such organization persons and others shall not be held liable for such information or damages that may result from furnishing the information requested. I understand my rights under the act of 1974, with regard to access and disclosure of records, and I waive these rights with the understanding that information furnished will be used by the city of Ocean Springs.

This authorization will be valid whether as an original, photocopy, or fax copy and remains valid for one year after I sign. Upon request, a copy of this signed authorization may be furnished to the school, present, or former employer criminal justice agency or other persons and organizations asked to provide information.

*Electronic Signature
 Select yes to indicate agreement. 
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Ocean Springs Parks & Recreation
Ocean Springs, MS 39564
228-875-8665