2023-2024 Local League Coach Application (Newcastle Village Minor Hockey Association)

Personal Info

Name of Applicant^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

L1B-1H6

Phone^*

Required

999-999-9999

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

1. What is your Occupation/Profession. Employer, and Position^*

Required

Example: IT specialist. IBM, Supervisor

2. Are you a shift worker?^*

YesNo

Required

if "Yes" please give us a detail of your shift in the space below

3. Do you travel for work?^*

YesNo

Required

if "Yes" please go to Q: 4

4. If you answered "Yes" to Q: 2 or Q: 3 Please give us a brief description of your shifts/travelling.

Preferences

5. Position Applying for^*

Required

Choose one please

6. If you/will have a family member on the team(s) you are applying for, please provide the Name, Date of Birth & Level family member is currently playing in

Please Provide their Name, Date of Birth & Level

7. I wish to coach the following age group.^*

Required

8. Do you have Team Staff members to recommend?^*

YesNo

Required

if "Yes" please fill out Q: 11

9. If "Yes"in Q: 8 then list their names and the positions you will be recommending them for

Coaching Qualifications & Experience

10. What is your Coach Certification Level?^*

Required

Example: Coach Level #2

11. Have you completed the RIS (Respect in Sport for Activity Leaders) Course?^*

YesNo

Required

Choose Yes or No

12. Have you completed the RIS (Respect in Sport for Parents) Course?^*

YesNo

Required

Choose Yes or No

13. Please provide details of prior coaching experience^*

Required

Please list the Years, Association, Position Held, Division, and any other Remarks. If ther is none please put N/A

Other Info

14. Have you submitted or do we have a Police Record check on file with the N.V.M.H.A.I?^*

YesNo

Required

if "No" please proceed to Q: 16 and upload and submit your record

15. Date of last Police check :

MM-YYYY

16. If you checked "No" to Q:15 Please attach a copy of your current Police Record check

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 5. Maximum File Size: 4MB.

17. References: Please list some Names, Contact #, Relationship^*

Required

Example: John Smith, 999-999-9999, Worked at GM & Coached a PeeWee team

2023-2024 Local League Coach Application (Newcastle Village Minor Hockey Association)

OMHA Digital Network

Personal Info

Preferences

Coaching Qualifications & Experience

Other Info

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