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Riders Interscholastic Federation of North America
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Assistant Coach Application Form
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Riders Interscholastic Federation of North America, Inc. (RIFNA)

Assistant Coach Application

 

Assistant Coach Requirements.  RIFNA Assistant Coach Membership is available to any person working with a RIFNA Coach Member at a RIFNA Member Barn and meeting the following requirements:

·         Has previous equestrian coaching/riding experience

·         Is at least 19 years of age

·         Is a high school graduate (or completed GED)

·         Is CPR certified (current)

·        Has an individual professional liability insurance policy with minimum liability coverage of $500,000 per accident

Applicant Verification Data

In order to process your application; please provide the following information. Include your exact legal name and any other name(s) you may have used in the last seven (07) years. Please PRINT CLEARLY AND IN INK. 

 

First Name:

 

Middle Name:

 

Last Name:

 

 

 

Street Address:

 

 

 

City:

 

State:

 

Zip:

 

 

 

 

 

 

 

Home

Phone:

 

Work Phone:

 

Cell Phone:

 

 

 

 

 

 

 

Date of birth:

 

Social Security Number

 

Email:

 

 

 

 

 

 

 

Driver’s License Info:

Number:

 

State:

 

 Please list any other name(s) used and indicate dates used.

Other Name Used:

 

 

 

 

                                                                                                                                       Used From                Used Until

Other Name Used:

 

 

 

 

                                                                                                                                     Used From                Used Until

Past Residence Data

Applicant must provide city, county and state information for residence covering a period of seven (07) years. Begin with your most current address.

 

From:

 

To:

 

 

MM/YYYY

 

MM/YYYY

 

 

 

 

City

County

State

Zip

 

 

From:

 

To:

 

 

MM/YYYY

 

MM/YYYY

 

 

 

 

City

County

State

Zip

 

 

From:

 

To:

 

 

MM/YYYY

 

MM/YYYY

 

 

 

 

City

County

State

Zip