Board App.

- Board Member Application -

All applications should be mailed to:
St. Clement Church
172 Freneau Avenue
Matawan, N.J. 07747-3400
c/o Athletic Department (SCAC)

Name ___________________________________________________________

Home Address____________________________________________________

City _______________ State _______ Zip __________Phone ______________

E-mail Address ___________________________________________________

Occupation_______________________________________________________

Company Name ___________________________________________________

Company Location ________________________________________________

1.) Please describe why you are interested in joining the board.

________________________________________________________________

2.) What talents would you bring to the board and the overall program?

________________________________________________________________

3.) Other information you would like to provide in support of your application

_____________________________________________________________________________

________________________________________________________________

4.) Have you ever played sports on the high school or collegiate levels?

____No ____Yes

If yes, please list

Sport	Level	Years
i.e. Baseball	High School	3

5.) Previous Coaching Experience

Have you ever coached a sports team?____No ____Yes

If yes, please list

Team	Sport	Dates	Organization	Location	Role
i.e. 4^th Grade	Girls Baseball	Fall, 1996	St. Clement	Matawan, NJ	Head Coach

6.) References (minimum 2 references)

Name	Relationship	Years Known	Phone #

St. Clement Athletic Committee Responsibilities

All members will be expected to:

- Help develop and maintain a program that promotes for as many Parish children as possible, a variety of age appropriate sporting experiences that provide a fun, self-esteem building environment where sport (s) fundamentals, sportsmanship and other life skills are taught and reinforced which are consistent with the teachings of the St. Clement Catholic community.

- Perform the necessary oversight of all SCAC activities.

- Make a concerted effort to attend and participate in all committee meetings.

- Actively volunteer for various board activities.

- Become knowledgeable of and follow all appropriate Diocese, Parish and Committee rules, policies, guidelines and regulations to the best of their ability.

- Maintain appropriate communication channels with other board members, various league constituencies, coaches, parents and players.

I hereby certify that I have not been convicted in New Jersey or any other state or jurisdiction of any crime or disorderly persons offense involving sexual offenses, child molestation, DWI, endangering the welfare of children or incompetents, arson, armed robbery, aggravated assault, kidnapping, murder, manslaughter or violations of the New Jersey Controlled Dangerous Substance Act.

I have read, understand, and will abide by all of the above if selected as a S.C.A.C. board member. I certify that all of the information provided above is true.

Applicant Signature_________________________________________

Date ___________________________ 04/02

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