Boys A & AA Coach & Assistant Coach of the Year
Nomination Form

Complete the following nomination form and review carefully before submitting

Coach Name:				Class:		--Select-- A AA
Position:		--Select-- Head Coach Asst Coach		Gender:		--Select-- Boys Girls
School:				Coach Email:
Coach Home Phone:				Coach Work Phone:
Total number of years as a member of the MSHSSCA:
List all committees, positions and offices (past and present) held in the MSHSSCA
State a maximum of three (3) contributions that you have made to soccer in your community
Head Coach Information
Complete this section if you are a head coach
Total number of years as a high school soccer coach: (include assistant, head, boys and girls)
Total number of years as a high school head soccer coach:
Indicate boys or girls: (for above question)				--Select-- Boys Girls
Your career record as a high school head varsity soccer coach:				W L T
Your team's record this season:				W L T
Assistant Coach Information
Complete this section if you are an assistant coach
Total number of years as a high school soccer coach: (include assistant, head, boys and girls)
Total number of years as a high school assisant soccer coach:
Indicate boys or girls: (for above question)				--Select-- Boys Girls
Your career record as a high school assistant soccer coach:				W L T
Your team's record this season:				W L T

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