Home USA Lacrosse National Team Medical Personnel Application Form This application is for individuals interested in being a part of the medical support personnel for the U.S. Men's Field National Team. These roles will work with the team through their competition cycle culminating with the 2027 World Championship. Select which role you are applying for: (select one)* Team Physician Athletic trainer Your Information Your Information Name Your First Name Your Last Name Your USA Lacrosse Membership # (if available) Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Code Phone Number Email Current Employer Current Job Title Select your current or previous involvement/experience with lacrosse (check all that apply)* Player Coach Official Administrator Medical Support Other None If you have had previous experience with lacrosse, please select which type of lacrosse it was (check all that apply)* Field Lacrosse Box Lacrosse Men's Lacrosse Women's Lacrosse Select the level of experience you have had with lacrosse (check all that apply)* Youth High School College Professional International Other None Please list up to 3 sports you have had the most experience working with in your professional field Do you have any previous experience with USA Lacrosse (e.g., volunteer, contract work)* Yes No Do you have any previous experience with USA Lacrosse National Teams (e.g., volunteer, contract work)* Yes No Do you have any previous experience working with another national team or national sport governing body?* Yes No Please attach a single file with your cover letter and resume/CV One file only.256 MB limit.Allowed types: txt, pdf, doc, docx, xls, xlsx, gif, jpg, jpeg, png, . CAPTCHA This is required for testing whether or not you are a human visitor and to prevent automated spam submissions.
This application is for individuals interested in being a part of the medical support personnel for the U.S. Men's Field National Team. These roles will work with the team through their competition cycle culminating with the 2027 World Championship. Select which role you are applying for: (select one)* Team Physician Athletic trainer Your Information Your Information Name Your First Name Your Last Name Your USA Lacrosse Membership # (if available) Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip Code Phone Number Email Current Employer Current Job Title Select your current or previous involvement/experience with lacrosse (check all that apply)* Player Coach Official Administrator Medical Support Other None If you have had previous experience with lacrosse, please select which type of lacrosse it was (check all that apply)* Field Lacrosse Box Lacrosse Men's Lacrosse Women's Lacrosse Select the level of experience you have had with lacrosse (check all that apply)* Youth High School College Professional International Other None Please list up to 3 sports you have had the most experience working with in your professional field Do you have any previous experience with USA Lacrosse (e.g., volunteer, contract work)* Yes No Do you have any previous experience with USA Lacrosse National Teams (e.g., volunteer, contract work)* Yes No Do you have any previous experience working with another national team or national sport governing body?* Yes No Please attach a single file with your cover letter and resume/CV One file only.256 MB limit.Allowed types: txt, pdf, doc, docx, xls, xlsx, gif, jpg, jpeg, png, . CAPTCHA This is required for testing whether or not you are a human visitor and to prevent automated spam submissions.
