2021-2022 Bench Staff Application (BLOMHA)

Print 2021-2022 Bench Staff Application
THIS FORM IS TO BE USED WHEN APPLYING FOR INITIATION/HOUSE LEAGUE, SELECT or REP MD bench staff - all divisions
APPLICANT INFORMATION
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    (Month, Day, Year)
  2. Example: ###-###-####
POSITION + LEVEL APPLYING FOR
PLEASE NOTE THAT THE INITIATION PROGRAM ONLY REQUIRES ASSISTANT COACHES.
  1. CHECK ONLY ONE
VOLUNTEER EXPERIENCE
  1. CHECK ALL THAT APPLY
  2. LIST ORGANIZATIONS AND CAPACITY
CURRENT CERTIFICATIONS
House League ASSISTANT COACH minimum requirements: U8 Minor Novice & U9 Novice must have Coach 1 - Intro to Coach | U10 Minor Atom and above no NCCP is required (optional) | TRAINERS must have a valid HTCP Level 1 certification prior to the start of the season | ALL BENCH STAFF 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 BENCH STAFF must have valid Police Clearances (2018 or newer)






  1. CHECK ALL THE CERTIFICATIONS YOU CURRENTLY HOLD.

TEAM SELECTION
Please select a second choice for a division you would be willing to assist.
  1. Divisions are composed of separate age groups.
  2. Please indicate if there is another division you would like to assist.
  1. If accepted to a BLOMHA House League team/bench staff 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 agree to submit a Police Vulnerable Sector Record Check, upgrade my certifications if required and complete all other certificates as stipulated above. I agree that all certifications will be completed within two weeks of acceptance of as part of a team/bench staff.

    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.
Human Validation
Printed from blomha.com on Friday, October 22, 2021 at 6:47 PM