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		Workshop Workshop Presentation Downloads Add News to Your Site Blog adidas ESP Calendar Coaches Connection Employment Opportunities ESPAÑOL I Wanna Play Soccer! Kwik Kicks - eNewsletter National Championship Series National Coaches Database National Tournament Database Responsible Sports Shop Online Store State Associations The US Youth Soccer Show on FSC Workshop Home Page Site Map Archive Subscribe Unsubscribe		US Youth Soccer National Coaching Database   The US Youth Soccer National Coaches Database is for communication and informational purposes only and will not be sold to third parties. US Youth Soccer respects your privacy and abides by its privacy policy available at USYouthSoccer.org. Thank you for assisting the US Youth Soccer Coaching Department with your information. Personal Information   First Name: Last Name: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Zip: Gender: Male Female Home Phone: Email: State Association: -- ALL STATES -- Alabama Alaska Arkansas Arizona California-North California-South Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York-East New York-West Ohio-North Ohio-South Oklahoma Oregon Pennsylvania-East Pennsylvania-West Rhode Island South Carolina South Dakota Tennessee Texas-North Texas-South Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Region: Region I Region II Region III Region IV   Coaching Experience   Years of experience: --- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50+ License held: --- A B C D E F G   Primary Coaching Area: -- Select One -- Recreational Competitive/Select ODP College High School Other Secondary Coaching Area: -- Select One -- Recreational Competitive/Select ODP College High School Other   Have you taken the National Youth License Course? Yes   No   Other licenses or diplomas:   Have you coached in the US Youth Soccer Regional Championships? Yes   No   Have you coached in the US Youth Soccer NATIONAL Championships? Yes   No   Are you a US Youth Soccer ODP coach? No   State   Region   Are you a member of the Coaches Connection? Yes   No   Are you a parent?    Yes   No             Of a player?    Yes   No   Any additional information that you would like to share can be placed below:   Teams Currently Coaching   High School Team Name: Girls Boys City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Club Team Name: Girls Boys City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming   Club Name: Age Group: Club Website: Club Team Name: Girls Boys City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming   Club Name: Age Group: Club Website: College School: Girls Boys City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming   Hometown Media Information   Major Metropolitan Newspaper: Community Newspaper(s): Thanks for your time. Please click the Submit button to finish.

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