22-23 Coach Application - HL (Belleville Minor Hockey Association)
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22-23 Coach Application - HL
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22-23 Coach Application - HL
Applicant Information
Please fill out all the information below.
Date of Birth
*
Name
*
Home Address
*
City
*
Postal Code
*
Home Phone
*
Example: ###-###-####
Business or Mobile Phone
Example: ###-###-####
Email
*
Example:
[email protected]
Team Information
Please indicate which teams you are interested in coaching from the drop down list below.
Team Preference #1
*
Select One...
Timbits
Tyke
Novice
Atom
Peewee
Bantam
Midget
No Preference, Any Team Would be Perfect
Will You Have Child On This Team?
*
Yes
No
Team Preference #2
Would you like this application to also apply for Coaching a Select Team?
If so, please indicate the divisions(s) you are applying for. Leave blank to indicate you are not applying to Coach a Select Team.
Coaching Experience
Please provide a detailed background of your coaching experience.
Have you completed the Gender Identity and Expression Course
https://www.omha.net/coach
Have you coached in Belleville in the past 5 years?
*
Yes
No
What Teams
What Level of NCCP Certification Do You Currently Hold?
*
Coach Stream / Intro CoachIntro
Development 1
Development 2
High performance 1
High performance 2
Trainer level 1
Trainer Level 2
Check All That Apply
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
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?
*
Yes
No
Have you had a Criminal Records Check (including a Vulnerable Sector Search) done in the past 2 years?
*
Yes
No
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
*
Select One...
2016
2015
2014
None Current, Will Apply Today
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again