BOYS ONLY APPLICATIONStep 1 of 911%Name of Club*Club Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Club Website*Club Representative Name* First Last Club Rep Position*Club Rep Phone*Club Rep Email* Director of Coaching* First Last Director Phone*Director Email* Years with Club*USSF License Choice*USSF License ChoiceABCDName of Boys Director* First Last Boys Director Phone*Boys Director Email* Years with Club*USSF License Choice*USSF License ChoiceABCDName of Club Administrator* First Last Club Admin Phone*Club Admin Email* Explain Club History*Number of Full Time Coaches*Number of Part Time Coaches*Number of Boys Competitive Teams U8-U19*Total Number of Boys Players in Club*Number of Fields Rented by Club*Number of Lighted Fields*Girls High School SeasonStart Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Primary Competitive SeasonStart Date* MM slash DD slash YYYY End Date* MM slash DD slash YYYY Please DescribeClub's Mission*Club's Coaching Philosophy*Club Player Development Philosophy*Please list any notable club/team accomplishments during league or tournament play, please include year league or event nameAccomplishmentsPlease list any Players that have played at your club and have went on to play collegiately over the last 2 years, please include name of college, player birth year and number of years at your club. Use the "+" to the right of the row to add moreListFull NameCollege NameBirth Year# Years at Your Club Please list any Youth and/or Full National Team Players (US and other countries) that have played at your club, please include birth year and number of years at your club. Use the "+" to the right of the row to add moreListFull NameBirth Year# Years at Your Club Please provide two (2) references from soccer community that are familiar with your club’s program and history. Reference #1:Name* First Last TitleEmail* Phone*Name* First Last TitleEmail* Phone*
