Coaching Application – Indiana Nitro

Indiana Nitro Coaching Application

Name

Current Address

Cell Phone

Age Group

Please list pevious Baseball (or other) coaching experience

Please list your accomplishments as a player or coach:

If selected, how do you view your role as a coach with Indiana Nitro?

Please list three (3) references (include cell phone numbers)

Have you ever been charged, convicted or plead guilty to any crime and/or type of sexual misconduct? If yes, explain.

Have you ever had a record of a criminal arrest, plea or convinction expunged? If yes, explain.

I permit Indiana Nitro Baseball to use my name and Social Security Number to run a background check.

Yes No