REV. 6/25/2020
As a PDF, this is a fillable form. Download, save it to your
computer, fill it out, save again. It can then be added as
an attachment to be sent up the chain-of-command.
AMERICAN YOUTH SOCCER ORGANIZATION
AREA DIRECTOR APPOINTMENT REQUEST
Section: Area:
Area Director Change
Area Director Reappointment
Term start date (first
of month)
Term of Office: 1 year
2 years 3 years
Name:
AYSO ID:
Address:
Cell Phone:
City/State/Zip:
Home Phone:
Checklist: If any items are unchecked, please explain below in the box provided and what the plan is for completion*
Election took place (minutes attached); Term of Office has been approved by the Area’s Policies and Protocols or by the
Regional Commissioners.
I am currently registered and background screened.
Current Membership Year budget has been uploaded to NAP Online.
I have read and understand the AD Position Description and Conflict of Interest Policy Statement (COI) and signed the COI.
I have had/will have an orientation from Section Director.
I have completed AYSO’s Safe Haven Certification online, via webinar or in person.
I have completed the CDC Concussion and Sudden Cardiac Arrest (SCA) trainings as my state requires and/or per AYSO policy.
I agree to operate by the Policies and Protocols reviewed with my Section Director.
I agree to support AYSO programs and perform the duties of AD and understand that I am subject to the organization’s
Philosophies, National Bylaws, National Policies and Rules & Regulations.
I agree to attend AYSO meetings including the Section EXPO and the National Annual General Meeting (NAGM).
I agree to attend the first Area Director Training as soon as possible after my appointment as AD.
I agree to fill the appropriate Area Board positions, ensure all are currently registered, update their terms annually, take
appropriate job specific training, AYSO’s Safe Haven, CDC Concussion and Sudden Cardiac Arrest trainings.
Area Director Nominee Name (print):
Signature: Date:
Sign and date above. Make a copy for your records. Send this original form to your Section Director for signature.
APPROVALS
Section Director: I, as Section Director, have verified that the nomination of the above-named person as Area Director is consistent
with the Organization’s Bylaws, rules, regulations, policies and philosophies.
Section Director Name (print):
Signature: Date:
Sign and date above. Make a copy for your records.
Please email to emappt@ayso.org OR FAX pages to (310) 525-1155 OR mail the originals to:
AYSO National Office, Attn: EM Appointment, 19750 Vermont Avenue, Suite 200, Torrance, CA 90502
Office Use Only:
*Explanation of unchecked boxes:
Nat’l Sec’y approval and date:
Save As
Print