06 United Football Club <>

《Employment Online Application Form》

First Name*

Last Name*

Gender*

MaleFemale

Birth Date*

MonthDayYear

Tel Number*

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Type of Position Interested In*

Coach (Part Time)Assistant Coach for Weekend Program (Volunteer)Assistant Coach for Summer Program (Volunteer)Assistant Team Manager (Volunteer)

Training Location*

Brooklyn (Borough Park), Sunday afternoonsLong Island (Great Neck). Saturdays morningsManhattan (Downtown), Saturday afternoonsQueens (Flushing), Saturday afternoonsStaten Island (St. George), Sunday morningsOther

Are you a permanent US resident?*

Yes - US based applicantNo - Foreign Based Applicant

How did you hear about the job opportunity?

Please list how did you hear about this job opportunity.

Drivers License*

YesNo

Current Employment Status*

EmployedUnemployed

Language*

Qualifications (For coach position only)

License Number

Year Obtained

Soccer Experience (For coach position only)

Please list all soccer coaching experience, include dates, ages and player abilities worked with.

Please list playing experience.

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

In consideration of being allowed to participate in any way in the program, related events and activities, I the undersigned, acknowledge, appreciate, and agree that:

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY,

AND HOLD 06 UNITED FOOTBALL CLUB, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASEES), from any and all claims, demands, losses, and liability arising out of or related to any ILLNESS, INJURY, DISABILITY OR DEATH I may suffer, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Agreement:*

AgreedDisagreed

BACKGROUND CHECK POLICY

All applicants, whether staff or volunteers, who are offered employment with 06 United Football Club will undergo a background check conducted by a third-party vendor. The Club will review the relevant background information to select and retain the most qualified employees, with the ultimate aim of maintaining a safe and productive work environment. This policy applies to the criminal history screening of both prospective and current employees.

Agreement:*

AgreedDisagreed

Signature*

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Agreement (For under age of 18 only):

AgreedDisagreed

Parent/Guardian Signature:

Comments / Questions:

Date Signed*

Date