Coach with NXT (Girls)

NXT LC Coach Application. Please fill out the questions below. Be as detailed as possible.

First Name
Last Name
Email
Date of Birth Date of Birth / MM / DD YYYY
Current Residence Current Residence
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
High School
College
Past Coaching and/or Playing Experience
Maximum of 1500 characters allowed. Currently Entered: 0 characters.
Reference 1 Reference 1 First Last
Reference 1 Email
Reference 1 Phone Reference 1 Phone - ### - ### ####
Reference 2 Reference 2 First Last
Reference 2 Email
Reference 2 Phone Reference 2 Phone - ### - ### ####
Resume

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Additional Files

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What level are you interested in coaching?

What level are you interested in coaching? High School Middle School Youth