Lacrosse Trainer Application Form Please fill out the form below and we will get back to you within 24 hours with a follow up email regarding the next steps moving forward. Trainer Application Form Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are You Age 18 Or Older?(Required) What is your date of birth?(Required) Gender(Required)Wish Not To SayMaleFemaleAre you vaccinated against covid-19?(Required)Wish Not To SayYesNoWhere did you hear about us?(Required) Do you speak any other languages? Have you ever trained players before? if so, where?(Required) Do you currently work with another lacrosse training company? If so what company?(Required) How many years of experience do you have training players?(Required) What current certifications or licenses do you hold? What position do you specialize in?(Required) Have you played Lacrosse in the past?(Required) How many years of Lacrosse experience do you have?(Required) List 2 professional references (NAMES)(Required) Reference 1 Email:(Required) Reference 2 Email:(Required) Have you worked with kids before from previous jobs or volunteership?(Required)YesNoDo you have access to a field to train players on?(Required)YesNoDo you have any experience teaching special needs students?(Required)YesNoDo you have reliable transportation?(Required)YesNoAre you legally authorized to work in the United States?(Required)YesNoDo you have a valid drivers license?(Required)YesNoHow many minutes from your location are you willing to travel to a client to teach lacrosse lessons?(Required) You are required to represent STXZ in a professional manner and work to the best of your ability. Do you agree?(Required)YesNoDo you understand that client offers are not guaranteed. Once a client is available for you in your area, you will be notified. You will also have the ability to accept or decline client offers.(Required)YesNoHow many clients are you willing to accept this year?(Required)Under 5More than 10As many as possiblePlease choose your coaching preference:(Required) Male Players Female Players Both What Ages Do You Have Experience Coaching?(Required) What would your availability look like on any given week? Have you had any signs or symptoms of COVID-19 in the past 10 days?(Required)Yes/NoYesNoDo you agree to follow our non-solicitation policy?(Required) Yes I agree Meaning you cannot work any "side deals" with our Clients or "cut us out" by working directly with our clients. We spend a huge amount of time and resources to source you clients in your area and we kindly ask that you follow this policy. Explain why you are fit for this position.(Required)