Apply

We are excited about your interest in getting involved with Surge Soccer. Please complete the first step in our process.

Your Full Name*
Your Email*
Your Phone Number*
Background Check
As part of our process, we require a full criminal background check. Please indicate that you consent and authorize Surge Soccer to perform a criminal background check.
- Yes
Your Birthdate
We require your Birthdate to perform the background check.
MM slash DD slash YYYY
Have you been convicted of a crime or disorderly offense?*
- Yes
- No
What other information is important for us to know about you?
What other questions do you have?
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Email
This field is for validation purposes and should be left unchanged.