LaSalle Stompers Soccer Club. LaSalle, Ontario Canada, Internet:

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LaSalle Stompers Soccer Club LaSalle, Ontario Canada, Internet: www.lasallestompers.org On behalf of LaSalle Stompers Soccer Club, we would like to thank you for your interest in applying for a position in our Club. LaSalle Stompers Soccer Club is making great strides in developing our program and look forward to working with you in achieving our goals. Part of program development is to ensure that LSSC is following all Ontario Soccer Association (OS) initiatives including volunteer screening. Volunteer Screening is an integral part of any program as we strive to meet our duty of care by providing the best quality coaching and a safe and enjoyable environment for our players, parents and volunteers. Please see attached the proposed Volunteer Screening Policy to be put into place this fall. To further improve upon the development of our players, we have refocused our pyramid of play to include all Representative, Intercity and All-Star teams under one umbrella called the Travel Team Program. Over the coming years, we will increase our efforts on cooperative age group specific development within these programs. Combining this with a greater focus on House League coaching development, we strive to provide the best development opportunities for our players. No matter if you are a new applicant to the Travel Team program, or a returning coach please ensure the following is done to ensure your application can be processed. Application and screening measures please submit the following: 1) Application form please ensure that your application is filled out completely. Application Deadline is: August. 31 st, 2016 2) Copies of your coaching certification that you have achieved to date. 3) Police Records Check Will be required at a later date, prior to your interview process at which time you will be refunded upon approval for coaching position. 4) References will be checked, please ensure you list three personal references in your application. 5) Personal Interview you will be contacted by one of the hiring committee members to schedule your interview. Interviews will take place in from September 5 th 9th, you will be notified by the 16 th of September 2016 Once again, thank you very much for your interest in coaching with LaSalle Stompers Soccer Club, and we look forward to receiving your application. Sincerely yours, Kevin Pollard, Club Coach

LaSalle Stompers Soccer Club Screening Policy In its leagues and development programs, LaSalle Stompers Soccer Club depends on volunteer coaches, managers and conveners, and a staff of qualified technical coaches. Assessment of Risk The first principle of screening is risk management, which simply means What could go wrong here and How do we avoid it? Risk management involves looking at the possibilities of loss or injury that might arise in programs, activities and services and taking steps to stop, minimize, prevent or eliminate them all together. This includes the Club s obligation to take all reasonable measures to care for and protect their participants from harm. The need to screen an applicant is dictated by the nature of the position and its inherent level of risk. When determining risk consider such factors as the participant, the environment, the nature of the activity, the level of supervision and the nature of the relationship. For example, a high risk position is defined as a position in which staff members, volunteers, or Board members are in direct contact with, or provide direct service to, vulnerable individuals, and in particular when the applicant will be in a position of trust, power or influence and whose contact is unsupervised and/or takes place off site. Definition of Positions: The various levels of play in the sport have been ranked according to the level of risk associated with that position and the appropriate screening measures have been assigned to each level of risk. High Risk Positions: Competitive team Coaches and Managers: Rep, Festival Teams Development camp leaders and staff: Indoor development camps, summer camp and academy programs Medium Risk Positions: Recreational team volunteer parent coaches Non-parent volunteer coaches in all recreational divisions Recreational division conveners Low Risk Positions: Recreational team volunteer officials BOUNDARIES/ LIMITATIONS: Shall never be alone with a player Shall not be responsible for transportation to/from practices/games/tournaments

Shall be a role model - no drugs/alcohol/smoking or abusive language at practices/games/tournaments Shall comply with the Dress Code as defined by the Club Shall ADHERE to OSA and Club policies Shall embrace Club values, principles, and policy as per Club Constitution Shall demonstrate the ability to set and maintain standards for players (i.e. respect, self-discipline, fair play) Screening Measures High Risk Application Form (with references) Interview by Selection Committee References Checked Out Police Records Check Evaluation by Club Medium Risk Application Form (Reference Checks Optional) Police Records Check

POSITION: COMPETITIVE/FESTIVAL OFFICIALS RISK LEVEL: RESPONSIBLE TO: HIGH RISK POSITION Competitive Club Coach GOALS: ACTIVITIES: Instruction in advanced soccer skills Positional play and individual roles on a team Competition at a high level of play Building and maintaining team chemistry while fostering individual excellence Encouraging commitment and self-discipline Playing for the love of the game Weekly practice & game(s) for players (maximum number of players as set by the league) Tournament play - travelling and overnight stays Upgrading qualifications through coaching certification clinics as mandated by the Club and the League RESPONSIBILITIES: Establishment of a Coaching staff: Assistant(s), Manager, and Trainer in accordance with Club policy Team Committees with assigned responsibilities as determined by Coach and facilitated through the Team Manager Establish behaviour expectations on part of players in accordance with Club Policy Extensive knowledge of the Game Attendance at Competitive Coaches meetings Participation in all related coaching clinics as established by the Club Familiarity with Club policies pertaining to Competitive teams Familiarity with the Club s Competitive Coaches Code of Conduct Background in injury prevention and management Adherence to coaching standards as set by the Head Coach BOUNDARIES/ LIMITATIONS: Shall never be alone with a player Shall not be responsible for transportation to/from practices/games/tournaments Shall not be responsible for water or snacks Shall be a role model - no drugs/alcohol/smoking or abusive language at practices/games/tournaments Shall comply with the Dress Code as defined by the Club Shall adhere to OSA and Club policies Shall embrace Club values, principles, and policy as per Club Constitution Shall demonstrate the ability to set and maintain standards for players (i.e. respect, self-discipline, and fair play) SKILLS/QUALIFICATIONS/EXPERIENCE: As set by the Club and the League in the team plays Knowledge of all aspects of the Game Experience as a player with ability to instruct through demonstration Ability to relate to the age of the player Minimum age requirement 21

PERSONAL TRAITS/QUALITIES: Interest Positive role model Fair-minded, sportsmanlike approach Ability to communicate with players, parents, and officials Patience, understanding and a sense of humour Ability to exercise good judgement and to discipline in accordance with Club General Policy and Competitive Coaches Code of Conduct ORIENTATION TRAINING: Maintaining coaching levels as established by the OSA/ Club/ League Awareness of personal health issues and safety practices Clear understanding of Club policy regarding Competitive team matters SUPPORT/SUPERVISION & EVALUATION: Club Official will be in attendance at random practices and/or games Respond to directives from Competitive Team Co-ordinator Player/ Parent evaluation forms as per Club policy MANDATORY ACTIVITIES: Clinics as mandated by the Club Weekly practice(s) and game(s)/tournaments Player evaluation and selection Communication with parents WORKING CONDITIONS: Indoors/Outdoors - variety of practice conditions Times for practices Commitment from approval by Selection Committee to end of season BENEFITS (VOLUNTEER): Working with young people Imparting the values of active participation, team work, and fair play Overseeing the development of players to their potential Assisting athletes in trying to be the best that they can be Community contribution SCREENING MEASURES: Competitive team application form with personal references to be checked Interview(s) with Competitive Team Selection Committee Mandatory Police Records Check Documented monitoring by Club Representative(s) such as Club Official

SECTION A: APPLICANT INFORMATION Name: Address: City: Prov: Postal Code: Day Phone: Evening Phone: Cell Phone: Fax: E-mail Address: T-Shirt Size: Coaching Position Applying for: : (Age Group, Gender, and League): Festival or Intercity Head Coach: (circle) Other Rep. Team Head Coach: Rep. Team Asst. Coach: 1 st Choice: 2 nd Choice: 3 rd Choice: Do you have a son/daughter playing on the team(s) applying for: YES: NO: SECTION B: QUALIFICATIONS N.C.C.P. Number: Provincial B License Part 1 OSA: National B License Part 2 CSA: National A License CSA: Active Start: Learn to Train: Respect for Soccer: International Course(s): OSA Coaching Number: Community Children s: Community Youth: Community Senior: Fundamentals: Soccer for Life: Making Ethical Decisions: SECTION C: EXPERIENCE If you have coached a team within the past three (3) years please indicate: i) Year; ii) Club; iii) Age; iv) Gender v) League - Division in which the team played: 1. U Year Club Age Gender League - Division 2. U - Year Club Age Gender League - Division 3. U - Year Club Age Gender League - Division

SECTION D: GOALS AS A COACH Please list three (3) Goals you would like to achieve with the team you are applying for: 1. 2. 3. SECTION E: REQUIREMENTS Please insure the application is filled out completely and any necessary information is included with your application. 1. A photocopy of your coaching level certificates attached to this application. 2. Current police records check (PRC) is a requirement of this position. LSSC requests all new police checks are to be submitted at the cost of the club. A copy of must be available for review prior your interview. Please submit the PRC in a sealed envelope to the LSSC office. Police checks are good for two years. If you submitted a PRC this season (2016) you will not need to do a new one for 2017 3. Personal references will be checked. Please list three (3) references below: i) Name: Address: Telephone: Daytime Evening Relationship ii) Name: Address: Telephone: Daytime Evening Relationship iii) Name: Address: Telephone: Daytime Evening Relationship 4. A personal interview will be conducted. 5. Coaching candidates may be required to conduct a practice prior to selection to a coaching position. I have reviewed and agreed to the role and position (as defined) and have accurately completed this application and understand that the above references may be contacted.

Applicants Signature Date SECTION F: FOR CLUB USE ONLY (This application is submitted and held in confidence) Date Received: Received by: Coaching certificates included. YES: NO: Personal references called YES: NO: PRC provided - Review Form filled out. YES: NO: Interview Conducted. YES: NO: Practice Session Conducted (if required) YES: NO: 1. I will be reasonable when scheduling practices and tournaments; remembering that player s have other interests and obligations. 2. I will teach my players to play fairly and to respect the rules, officials and all players. 3. I will ensure that all players get equal instruction, support. 4. I will not ridicule or yell at my players, for making mistakes or performing poorly. 5. I will remember that players play for the enjoyment of the sport and must be encouraged to have confidence in them. 6. I will make sure that equipment and facilities are safe. 7. I will remember that participants need a coach they can respect. I will be generous with praise and set a good example. 8. I will obtain proper training and continue to upgrade my coaching skills. 9. I will work in conjunction with officials for the benefit of the game. 10. I will respect game officials and the decisions that they make. 11. I will not be alone with any player at any time except for emergency situations. 12. I will respect and follow the policies and guidelines as provided by LaSalle Stompers Soccer Club. By signing this code of ct I agree to all conditions. If at any time, I do not adhere to these conditions. I may be suspended or dismissed from further coaching duties as seen fit by LaSalle Stompers Soccer Club. Name (please print)

Signature Date This document will be maintained on file at the LaSalle Stompers Soccer Club Offices.