II MEF MACE Coach Quote Cover Sheet.docx

Personal Information First Name Home Phone Address Birthdate Are you a US Citizen?

No Yes MEF MACE Coach Quote Cover Sheet

COMBAT BOXING PILOT PROGRAM COACH APPLICATION FORM

Are you authorized to work in the US?

No Yes Have you ever been convicted of a felony?

No Yes Have you served in the U.S. military?

No Yes If yes, please provide which branch, years of service, and rank at separation, and type of discharge.

Positions Applying For CLIN 0001 - Head Boxing Coach CLIN 0002 - Boxing Coach Boxing Experience If you have coached and developed medalists in national-level tournaments at the youth or elite level, please provide a list of those medalists along with the following information:

Name of Athlete; Year Medaled; Tournament; Division and Weight Class; Your Personal Role in that Athlete's Development (e.g. Head Coach, Assistant Coach, Volunteer Coach, etc.)

If you have coached at a USA Boxing High Performance Training Camp or Competition, please detail that experience below, indicating which year, which event, and what your role was in that camp or competition.

Please provide an explanation of your technical approach to performing the tasks and responsibilities found in paragraphs 2.0 and 4.0 of the Performance Work Statement (found on pages 2-4 of the solicitation) Administrative Information CAGE Code (see instructions in solicitation on how to obtain one) Federal Tax Identification Number (see instructions in solicitation on how to obtain one) Data Universal Numbering System (DUNS) Number image1.jpg image2.jpg