High School Diploma Mineola, NY August 2-4, 2013 Information Sheet

High School DiplomaMineola, N.Y.August 2-4, 2013Information SheetTravelYou will be responsible for all your own travel arrangements. Please wait until you receive an email fromthe National Office regarding the status of the course to book your travel (John F. Kennedy InternationalAirport, Jamaica, New York, NY 11430 (718) 244-4444 & (LaGuardia Airport, Flushing, NY 11371 (718) 533-3400)Start Time/PlaceRegistration will be held at OTT Field (340 Jackson Avenue, Mineola, NY 11501, beginning at 4:30 pm onFriday, August 2 nd . The opening session will begin at 5:15 pm.LodgingWe have secured a limited number of rooms at the Hampton Inn Jericho - Westbury, 120 Jericho Turnpike,Jericho, NY 11753 (516) 997-2020. The hotel is 6.0 miles from Chaminade High School (340 Jackson Avenue,Mineola, NY 11501). When you make your hotel reservation, be sure to specify that you are with theNSCAA to get the room rate of $149. The 3 letter group code is: NSC. That Group code allows guests to getthe special rate via phone call reservations or online reservations atwww.jerichowestbury.hamptoninn.com. As a reminder, the special rate is available until July 2, 2013 whichis the cut-off date. After that date, all rooms that have not been booked under the block will be released.The hotel does not provide shuttle service so it will be important to look into car rentals if you are flying in.WeatherWeather at this time of year is normally reached the highs of 85 degrees and lows of 70 degrees.What to BringAlthough it is not required, you may be asked to participate in order to illustrate the instructors’ sessions,so wear comfortable soccer clothes and bring extra gear if necessary. We recommend you bring runningshoes or indoor soccer shoes in addition to cleats in case the course goes inside. You might also want tobring a change of clothes to be comfortable moving from the field sessions to the classroom sessions. Bringsunscreen with a SPF Level of at least 30.Site CoordinatorIf you have any questions or would like more information on the details of the course, please contact thesite coordinator:For registration questions contact:Michael BonacusoMarisa Leconte516-384-4354 NSCAA Education DepartmentMBonacuso17@gmail.com 913-362-1747mleconte@nscaa.com

NSCAA High School Coaches DiplomaMineola, NY ScheduleTIME FRIDAY TIME SATURDAY TIME SUNDAY8:15-9:15 a.m.Marketing andFundraising9:25-10:40 a.m.Model ProgressiveTactical Session10:45-11:55 a.m.Technical/TacticalApplications of Small-Sided Games11:55 a.m.-1:10 p.m. Lunch4:30 p.m. Registration 1:15-2:30 p.m. Risk Management 1:00-2:15 p.m.DiscussionPresentations5:00-5:45 p.m. Introduction 2:40-3:50 p.m.Model FunctionalTraining Session2:20-3:30 p.m.Administrative Liaisons:Working with Your A.D.5:50-6:55 p.m.Team Management: Onand Off the Field4:00-5:25 p.m.Match Analysis(Game)3:40-4:50 p.m.Model Phase PlaySession7:00-8:15 p.m.Pizza Break and MatchAnalysis Lecture5:25-6:50 Dinner 5:00-6:10 p.m.Model Coaching in theGame Session8:30-9:30 p.m.Model ProgressiveTechnical TrainingSession6:50-7:50 p.m. and 7:55-9:00 p.m.6:50 M.A. Review7:55 GroupDisccussions6:10 p.m. Closing SessionUpdated, 4/30/13Schedule is tentative; course director will confirm final schedule at opening session. Shaded blocks are classroom sessions; white blocks are field sessions.

Candidate InformationName: ___________________________________________Street Address: ___________________________________City: ______________________ DOB:_________________State: _____________________ Zip: __________________Day Phone: _______________________________________Evening Phone: ____________________________________E-mail: __________________________________________Are you an NSCAA member? Yes NoIf yes, NSCAA membership number:___________________Are you a U.S. citizen? Yes2013 NSCAA High School DiplomaApplication Form NoIf no, birthplace:___________________________________Do you have medical insurance? Yes NoCompany and Policy Number: ________________________________________________________________________Coaching Positions (list current first and include years):________________________________________________________________________________________________Previous Coaching Certifications (include level and year):________________________________________________________________________________________________Occupation: ______________________________________I agree and understand that the National Soccer Coaches Association of America(NSCAA) has explained that the Coaching Academy program is physicallydemanding and I represent tht I am physically able to participate fully in theCoaching Academy program. I hereby agree to save and hold harmless theNSCAA, its staff, including coaches and each of its officers and directors (thepersons and entities released hereinafter being referred to individually andcollectively as NSCAA) against loss or damage for any injury, illness or othercondition arising out of my participation in the Coaching Academy program, andI hereby release, waive and forever discharge NSCAA from any and all claimswhich may be made by or on behalf of me arising out of my participation in theCoaching Academy program.Signature: _____________________ Date: ________Chaminade High School - Mineola, NYAugust 2-4, 2013In case of emergency, please notify:Name:___________________________________________Relationship:______________________________________Day Phone:_______________________________________Evening Phone: ____________________________________Course Fee: $325 for NSCAA members (includes $25 facility fee);$410 for non-NSCAA members (includes a one yearNSCAA membership and $25 facility fee)Registration InstructionsCompleted applications should be submitted no later than 30 daysprior to the start of the course. Applications may be acceptedafter this deadline - check the course status at www.nscaa.com. Applications without payment WILL NOT BE considered.Candidates should not make travel arrangements until they havereceived confirmation from the National Office. Checks should bemade payable to NSCAA and accompany completed applicationform to:NSCAA Coaching Academy800 Ann AveKansas City, KS 66101Fax: 913-362-3439To Pay by Credit Card (debit cards not accepted): Credit Card No.:____________________________________V-Code:_______________Expiration date:_______________Name on Card (print):_______________________________Signature:________________________________________Billing address:____________________________________________________________________________________________________________________________________