Name _______________________________________________________________________

Address ________________________________________ City _________________________

Home Phone Number ____________________ Cell Phone Number _____________________

Email Address ________________________________________________________________

Age ______ School Attending __________________________ Yr. in School ___________

Were you a Mustang Cheerleader? Yes / No If yes, how many years? ______________

Have you participated in Cheerleading or Pom during High School years? Yes / No

If yes for cheerleading, which years? Freshman / Sophomore / Junior / Senior

Location: ________________________________

If yes for pom, which years? Freshman / Sophomore / Junior / Senior

Location: _______________________________

What additional training, if any, have you acquired? Indicate when and where obtained. (Such as dance, gymnastics, etc)

_____________________________________________________________________________

I would prefer to coach: Cheer / Pom because: ____________________________________

______________________________________________________________________________

Please indicate preferences of age you would prefer to coach by ranking in number order 1 thru 7.

2^nd grade ______ 3rd grade ________ 4^th grade _______ 5^th grade ______ 6^th grade _______

7^th grade ________ 8^th grade _______

I am seeking position of: Head Coach / Assistant Coach

I believe I am qualified to be a head coach/ assistant coach because

______________________________________________________________________________

Indicate what are your strengths to be included in the Mustang organization.

______________________________________________________________________________

Indicate what potentially could be your weaknesses to be included in the Mustang organization.

______________________________________________________________________________

Overall, why do you desire to be and should you be considered to be a coach in the Mustang organization?

______________________________________________________________________________

What is your T-shirt size? _______________

I understand if selected to be a coach in the Mustang organization, it involves a high level of commitment throughout the

entire season. While we do understand you may be involved in various other outside activities, we do expect your regular

attendance when desiring to coach especially for the practice schedule. Please list any potential outside activities and their

frequency that may interfere with our schedule.

______________________________________________________________________________

I have completed the application to the best of my knowledge and agree, if selected, to necessary commitment to the organization.

Signature: ______________________________________________ Date: _______________

Please return by July 1^st to:

Michelle Emperor or Tracy East

320 Central Rd 945 S. Bentley

815-953-1649 815-462-0683

or Email as attachment to:

If you have any questions please contact above for additional information.

Applicants will be contacted if selected.

Thank you for your time and effort to complete the application and your desire to be a Mustang Coach!!!