Illinois FC Employment Application
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Personal Information
Name: *
Address: *
Phone Number: *
Email Address: *
Experience & Qualifications
List any licenses or qualifications (include year obtained): *
List all soccer coaching experience (including dates, ages, and player abilities worked with): *
List playing experience: *
Other relevant experience or qualifications: *
Education & Employment
Education level: *
Please list your current employer, include position and dates of employment (if applicable): *
Please list your last three employers, include position and dates of employment (if applicable): *
References (please list at least two):
Reference 1 (Include name, phone, and affiliation): *
Reference 2 (Include name, phone, and affiliation): *
Reference 3 (Include name, phone, and affiliation):
Reference 4 (Include name, phone, and affiliation):
Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge.  If this application leads to employment, I understand that false or misleading information may result in my employment being terminated.
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