24-25 Coach Application - REP (Belleville Minor Hockey Association)

Applicant Information

Please fill out all the information below.

Name^*

Required

Home Address^*

Required

City^*

Required

Postal Code^*

Required

Home Phone^*

Required

Example: ###-###-####

Business or Mobile Phone

Example: ###-###-####

Email^*

Required

Example: [email protected]

Date of Birth^*

Required

Team Information

Please indicate which teams you are interested in coaching from the drop down list below.

Team Preference #1^*

Required

Will You Have Child On This Team?^*

YesNo

Required

Team Preference #2

If your child doesn't make your team preference selected above - would you be willing to coach the team they do play for?^*

Required

Coaching Experience

Please provide a detailed background of your coaching experience.

Have you coached in Belleville in the past 5 years?^*

YesNo

Required

What Teams

Coaching Certificate Expiry Year

What makes you the ideal coaching candidate?

What is your coaching philosophy?

This is you chance to add any additional comments you would like the coach selection committee know about you

Have you completed the Gender Identity and Expression Course

https://www.omha.net/coach

What are you team Objectives & Goals?

What are the strengths of the team you wish to coach?

What are the weaknesses of the team you wish to coach?

References

*** Only Required if Applying to Coach a Select Team, If you are applying for a HL Team only, you may leave this section blank. *** In order to better evaluate coaching candidates at the Select level, we require a reference for every Select Team Coach applicant. The below information is mandatory for your application to be considered for a Select Team. These are professional references only and cannot be from a family member.

Reference 1 Name

Reference 1 Daytime Phone Number

Example: ###-###-####

Reference Letter 1

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Please upload a reference letter in .doc or .pdf format

Additional Requirements

Do you have PRS / RIS Activity Leader Certification?^*

YesNo

Required

Have you had a Criminal Records Check (including a Vulnerable Sector Search) done in the past 2 years?^*

YesNo

Required

If selected for an interview, you are required to bring a copy of the Records Check / VSS with you to the interview.

Year of Police Check^*

Required

24-25 Coach Application - REP (Belleville Minor Hockey Association)

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Applicant Information

Team Information

Coaching Experience

References

Additional Requirements

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