2021-22 House League Head Coach Application (BLOMHA)

Ontario Mandatory 28 Day Lockdown

Print 2021-22 House League Head Coach Application

PLEASE NOTE THIS APPLICATION IS TO BE USED FOR U9 NOVICE THROUGH TO U18 HIGH SCHOOL

APPLICANT INFORMATION

YOUR Name^*
Street Address^*

YOUR Date of Birth ^*

Open the calendar popup.

(Month, Day, Year)

City^*
Postal Code^*
Email address^*

Example: [email protected] Your submission will be sent to this address.
Phone Number^*

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

COACHING EXPERIENCE

Have you volunteered with BLOMHA previously?^*
YesNo
In what capacity?
Head CoachAssistant CoachTrainerManagerParent Rep
CHECK ALL THAT APPLY
Other Organizations?

LIST ORGANIZATIONS AND CAPACITY

TEAM SELECTION

Please select a second choice for a division you would be willing to Coach.

I have a child in the division I am applying for:^*
YesNo
First Choice^*

Divisions are composed of separate age groups.
Second Choice

Please indicate if there is another division you would like to Coach.
Name of your child(ren) in division(s) you are applying for^*

CURRENT CERTIFICATION(S)

House League HEAD COACH minimum requirements: U9 Novice must have Coach 1 - Intro to Coach | U10 Minor Atom and above must have Coach 2 - Coach Level | ALL HEAD COACHES must have completed the online courses for Respect in Sport for Activity Leaders and Gender Identity and Expression prior to the start of the season. | ALL HEAD COACHES must have a valid Police Clearance (2017 or newer).

Hockey Canada Certification^*
Coach 1 - Intro to Coach
Coach 2 - Coach Level
Development 1 Trained
HTCP Trainer Level 1 (completed in 2018 or newer)
Respect in Sport for Activity Leaders
Gender Identity and Expression Course
None
CHECK ALL THE CERTIFICATIONS YOU CURRENTLY HOLD.
Police Clearance^*
Yes (2018 or newer)
No, I will apply immediately upon my acceptance to a team

If accepted to a BLOMHA House League Head Coaching position I agree to abide by the BLOMHA Constitution & By-Laws, Rep MD and House League Select Policies and any other directives that the House League Committee may issue.

I certify that my answers are true and complete. I understand that false or misleading information in my application may result in my release from a team.

I agree to the terms and conditions stated above.^*

Human Validation