Funding – Coaching Intent To Coach This is a standard form for anyone hoping to coach a Tier II Funded Organization. Your Contact InformationName* First Last Address 1*Address 2Location*CityStateZipYour Email Address* Enter Email Confirm Email Do you work for the University or the State of CT in any capacity?*YesNoIf you answered "Yes" to the question above, please explain. What department do you work for? Are you full time? Part time? Special Payroll? Etc.*Your Phone Number*Your Fax NumberWhich Student Team/Group do you intend to coach?*Who is the student you are working with?*Student Team/Group Contact Email Address* Enter Email Confirm Email Practices/ScheduleAnticipated Practice Dates*Date of First Practice (Month/Day/Year)Date of Last Practice (Month/Day/Year)Location of Practices*Anticipated Weekly Practice (Days & Times)*Will You Attend All Practices?* Yes No If no, please explain and specify dates and times of practices that you will not attend.*Do you intend to hold practices during school breaks and holidays?* Yes No If yes, please specify dates and times of practices that you will attend during school breaks and holidays.*Schedule of GamesAnticipated Schedule of Games (Date, Opponent, Location, Time)*Be sure to include/exclude dates during school breaks/holidays.Will you attend all of the team's games?* Yes No If no, please explain below.*Will you attend games during school breaks and holidays?* Yes No If yes, please list dates and times of games below.*Additional InformationAre you a current UConn Student?* Yes No If you answered "yes" above, please check one of the boxes below:* Undergraduate Student Graduate Student Are you coaching multiple teams at UConn?* Yes No Please List All Student Teams/Groups You are Coaching at UConn*Please Use The Space Below For Any Additional Information Not Provided Previously.Fee and OtherWhat is The Agreed Upon Fee You Expect To Be Paid?*Please enter a number less than or equal to 4000.00.Your Resume/BioYou are required to upload your resume or bio. The file can be a Word document (.doc) or a PDF file (.pdf).File*Accepted file types: pdf, doc.Use this to upload your resume/bioSignature - By typing my full name and the date in the spaces below, I affirm that, to the best of my knowledge, the information which I have provided above is accurate and factual. I also understand that this is not a binding contract with the University of Connecticut, the Undergraduate Student Government at the University of Connecticut, nor any other group or team that I am corresponding with at the University of Connecticut.*Full NameDate* BY CLICKING THE CHECK BOX, I AFFIRM THAT I AM NOT FILLING OUT THIS FORM FOR SOMEONE ELSE AND THAT I HAVE TYPED MY NAME IN THE SIGNATURE LINE ABOVE. IF I AM A STUDENT FILLING THIS OUT FOR ANOTHER PERSON I REALIZE THAT MY GROUP MAY LOSE ITS FUNDING FOR FALSIFYING THIS DOCUMENT. Please Type The Images Below So We Know That You Are Not A Computer!