Enfield Youth League Coaching Application
at least 18 years of age? Yes
Position Applying For?
Assistant Head Coach
No Exp. Date:
List Two Personal References and Phone
Please sign on last page by coming into the office.
For the following question, exclude any convictions or arrests which have been
erased from your record pursuant to Connecticut General Statues§§46b-146, 54-76o
or 54-142a. Erased
records include the following:
(a) a finding of delinquency or that a child was
a member of a family with service needs;
(b) a sentence as a youthful offender;
(c) a criminal charge that was dismissed or "nolled";
(d) a criminal charge for
which the person was found not guilty; and
(e) a conviction for which the person
received an absolute pardon.
For erased conviction or arrests you are considered
to have been arrested and may swear so under oath.
Have you ever been convicted of a law violation other than a minor traffic
If yes, please explain:
For purposes of this application, reckless driving, evading responsibility,
engaging in pursuit, driving while impaired and driving while intoxicated are
not considered minor traffic offenses.
Have you ever been fired or asked to resign from a job?
Are you a United States citizen or are you authorized to work in the United
I certify that there are no misrepresentations, omissions or falsifications in
the foregoing statements and answers. I further certify that the responses given
are true, complete and accurate to the best of my knowledge and are made in good
faith. I understand that any misrepresentation, omission or falsification may be
grounds for rejection of my application or, in the event that I am hired,
I authorize the Town of Enfield to contact all of the educational institutions,
employers, personal references listed in this application and others the Town
may deem necessary to contact to obtain information related to my application
for employment. I authorize all such contacts noted above to provide information
to the Town of Enfield and I hereby release the Town of Enfield and all such
persons and/or entities supplying such information from any and all liability
and/or damages arising out of the release or use of such information.
I understand that upon an offer of employment, I may be requested to
successfully pass a physical examination. I hereby agree to take a drug
screening test, consisting of blood and/or urinalysis test(s) to detect the
presence of illegal drugs and/or alcohol, (including but not limited to,
barbiturates, heroin, cocaine, marijuana) and that any positive test(s) will be
confirmed by two (2) alternative methods. I authorize the laboratory conducting
such test(s) to release the results of such test(s) to the Town of Enfield and I
understand that I may request a copy of such results.I understand that the
results of such test(s), if positive, may result in my disqualification from
employment with the Town of Enfield. I release the Town of Enfield, employees of
the Town of Enfield, elected or appointed officials of the Town of Enfield and I
release the laboratory conducting such test(s), its employees and
representatives from any and all liability arising from or out of the
administration of such test(s).
The Town of Enfield
is an Affirmative Active/Equal Opportunity Employer-M/F
Thank your for your interest in the Town of Enfield's
and taking the time to fill out this application.