Please
complete the application form below. You may also apply for a
position by mailing us an application letter and CV or resume to our Head
office at the address below. If you have any questions please do not
hesitate to contact us via phone: (001) 908 823 0130 or by
email
This is a preliminary form
used to assess the suitability of applicants.
Preliminary Application for Employment
Employment Position
Position
applied for:
Indicate
any other position you are interested in.
Personal Information
Full
spelling of all information required (E.g. James - not Jamie)
First
Name*
Full Middle Name*
Last
Name*
Birth Date*
Marital Status*
Gender*
Driving
License*
Additional Driving Information:
Please detail your driving experience both home and abroad.
Country
of Citizenship*
Contact Information
Home Phone*
Work Phone
Cell Phone
Email*
Email
is essential for effective future communications Failure to give a correct
email address will void application
Home Address*
All correspondence will be
sent to this address
Street
City
County/State
Post
Code/Zip
Country
Education, Qualifications
& Experience
Further Education (If
applicable)
College/University
Course Title
Qualification
Course dates
Soccer Coaching Qualifications*
Qualification 1
Year taken
Qualification 2
Year taken
Qualification 3
Year taken
Other Sports Qualifications
Sport
Qualification
Sport
Qualification
Sport
Qualification
Please detail ALL relevant
work, coaching experience and/or teaching experience including your position,
responsibilities, dates of
employment & reason for leaving. Also include and sales, marketing,
promotional and/or computer experience.
General Information*
Please
list 3 reasons why you are seeking employment with United Soccer Academy
What
is your current occupation?
Details
the extent of your soccer playing experience during the last 5 years
List
any CPR or First Aid Certificates that you hold:
Indicate in order of
priority*
(1. the most preferred) the age of player you are most comfortable
coaching.
1.
2.
3.
4.
Indicate
which gender you prefer to coach*
Do
you feel that there is a difference in coaching male and female players? If
yes, please explain:
Immigration Information*
Have
you ever been refused entry into the USA?*
If yes,
explain below
Have
you ever been refused a US Visa*
If yes,
explain below
Do
you have any criminal convictions*
If yes,
explain below
Have
you previously visited or worked in the USA? If yes, please outline details
below including approx. dates and reasons for visit:
Have
you previously been issued any type of US Visa? If yes, please outline
details below:
How did you find out
about us?*Please tick/check all that apply
Specify how you
found us
Additional
information on how you found USA
Declaration*
I
confirm that all information presented in this application is to the
best of my knowledge correct. I authorize United Soccer Academy to
contact my references.
Submit Application
Click
the Submit button to complete your application
Thank you for applying to United Soccer
Academy - the Soccer Education Specialists
If you have any difficulty with
this form you may also apply by mail to:
Human Resources United Soccer Academy 12 Maiden Lane - Suite 1 Bound
Brook, NJ 08805, USA