2024 Sport Development Camps - Assistant Coach Application

Applicant must be a current USA Swimming coach in good standing [2024 membership, Athlete Protection Training, background check, and CANRA (if residing in California)] and hold a valid driver's license. Applicant must be able to arrive at the site by the afternoon on the day before camp (Wednesday) and depart midday following the camp (Sunday). Staff coaches receive transportation, lodging, meals and camp attire.

Application deadline is March 1, 2024.

Legal First Name: *

Middle Initial or Name:

Last Name: *

Preferred Name:

Pronouns:

Street Address: *

Address Line 2:

City: *

State: *

Zip Code: *

Phone Number: *

Email Address: *

Confirm Email Address: *

USA Swimming Member ID: *

Date of Birth: * +

Gender: *

Ethnicity: *

Best Time(s) to Call *

T-Shirt Size: *

Coaching, Camp, and LSC Experience

Full Name of Current Team or Employer: *

Title or Position: *

Dates/Years in that Position: *

Full Name of Team or Employer:

Title or Position:

Dates/Years at that Position:

Previous Camp Experience:

Type of Youth Camp (LSC, Zone, National, Club, Boy Scouts, etc.): *

Location / Dates of Camp: *

Your Position (Director, Head Coach, Manager, etc.): *

Camp Director's Name: *

Type of Camp #2:

Location / Dates of Camp:

Your Position:

Camp Director's Name:

Type of Camp #3:

Location / Dates of Camp:

Your Position:

Camp Director's Name:

Positions Held in your LSC: (please start with your most current position)

Position:

LSC:

Dates/Years at that Position:

Position:

LSC:

Dates/Years at that Position:

Athletes and References:

Please list the top 2 swimmers that you were the primary coach for, using event results, IMX scores, or meet experience.

Swimmer #1 Name: *

IMX Score:

Top Event:

Time:

Event Course:

LCM

SCY

SCM

Top performance: (LSC Champ, National Junior Team, Futures finalist, etc.)

Swimmer #2 Name: *

IMX Score:

Top Event:

Time:

Event Course:

LCM

SCY

SCM

Top performance: (LSC Champ, National Junior Team, Futures finalist, etc.)

Please list 2 references NOT from your club.

Name: *

Employer: *

Phone Number: *

Name: *

Employer: *

Phone Number: *

Please list one LSC board member reference NOT from your club.

Name: *

LSC and Position: *

Phone Number: *

Please explain why you'd like to coach at a Sport Development Camp. What will you contribute? What are your strengths as a coach? What do you expect to gain from this experience? *

Please select the camps you are applying for: *

Boys National Select Camp; January 2025 @ Olympic & Paralympic Training Center

Girls National Select Camp; January 2025 @ Olympic & Paralympic Training Center

National Diversity Select Camp; June 12-16, 2024 @ Butler University

Eastern/Southern Zone Select Camp; June 5-9, 2024 @ North Carolina State University

Western/Central Zone Select Camp; May 29-June 2, 2024 @ Olympic & Paralympic Training Center

*Due to the 2024 Olympic and Paralympic Games, the USOPTC pool is closed from mid-August through early December, 2024. The 2024 National Select Camps will be held in January 2025. The 2025 National Select Camps will take place in October 2025.

If the assistant coach positions are filled for the selected camps, are you able to assist at an alternative camp? *

Yes

No

Athlete Protection:

If selected to serve on a Sport Development camp or a National Team camp/trip, USA Swimming National Office Athlete Protection Policy requires that you successfully complete additional screening prior to being formally offered the position. This screening includes:

1. Verification of current and past employment,
2. Verification of your highest level of education,
3. Obtaining a state motor vehicle report,
4. Social network and Google media search; and
5. Verification through the US Center for SafeSport.

USA Swimming uses outside vendors, at no cost to you, to complete these screenings, and you will be asked to sign digital consent forms to allow USA Swimming to initiate them. Please provide the below signature to assist with this process.

Coach Signature: *

clear

For further information contact:

Kristin Alfano at 719-309-7198

or email: kalfano@usaswimming.org

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Asian / Pacific Islander	Native American
Caucasian / White	Other Other