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Coaching Application


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Use the TAB key to move through fields, pressing ENTER will submit your application.

Personal Information

Last Name:
First Name:
Address
 
City
Province
Postal Code
Home Phone
Work Phone
Cell Phone
Fax #
Email

What team are you applying to coach?

Recent Experience

Season Team Category Role

Coaching Aspirations

Short Term Goals

 

Long Term Goals

List 3 Coaching Skill Areas you consider your strengths:

1.
2.
3.


 

List 3 Coaching Skill Areas you wish to improve:

1.
2.
3.


Comments

Do you have your coaching staff potentially arranged for next year? If so please list them with their names and positions:

Questions (please select the appropriate response)
 

Do you have a child registered with GMHA? YesNo
If a Coaching Position were not available in the age group of your choice, would you be willing to coach in another division or help with skill clinics? YesNo
(If "Yes", which division)  
Do you feel your child will make the team for which you are applying? YesNo
In what portion of the team do you feel your child will rate? Upper
Middle
Lower
Will you coach the team if an independent committee does not assess your child to make the team? YesNo
Are you certified for the level for which you are applying? YesNo
If you are not certified at the required level, are you willing to take a weekend course to attain the required level? YesNo

 

Undertaking
  1. I hereby consent to the disclosure of the above information.
  2. I hereby acknowledge the authority of Hockey Canada, OHF, OMHA, OWHA and Glencoe Minor Hockey Association and agree to carry out and abide by their bylaws, rules and regulations.
  3. I here acknowledge that I have read and understand the coach's role as outlined in the "Coaches Code of Conduct"  which can be viewed by clicking the following button. Coaches Code of Conduct
  4. I hereby agree to familiarize myself with the National Coaching Certification Program (NCCP) requirements for coaching minor hockey and ensure that I maintain the required level of certification.
  5. By way of this application, I give permission to the Glencoe Minor Hockey Association to pursue a criminal record search on myself.

 


Name:   Date (dd/mm/yyyy):


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Last modified: 02/01/12