SELECT Bench Staff Application (BLOMHA)

Print SELECT Bench Staff Application
Personal Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    (Month, Day, Year)
Team Selection
  1. Please indicate Coaches name
Certification
Assistant Coaches require Respect in Sport Activity Leader Certification (formerly Speak Out), Gender Identity and a Police Clearance dated 2016 or newer. Trainers require the Trainers course, Respect in Sport Activity Leader Certification and Gender Identity Course. As well as a Police Clearance dated 2016 or newer. Managers require Respect in Sport Activity Leader Certification, Gender Identity Course as well as a Police Clearance dated 2016 or newer.





  1. Check All That Apply
  2. On Ice Helpers are NOT on the official roster
Coaching Experience
Have you coached before? If so, where?
  1. If accepted to a BLOMHA coaching position I agree to follow the BLOMHA Constitution & By-Laws, Rep, House League Select Policies and any other directives that the House League Committee may issue.
Human Validation
Printed from blomha.com on Monday, October 21, 2019 at 7:44 PM