2022-2023 House League SELECT Head Coach Application (BLOMHA)

Print 2022-2023 House League SELECT Head Coach Application
This form is to be used for applications for U9 to U19 divisions ONLY.
Personal Information
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  3. Example: [email protected] Your submission will be sent to this address.
Team Selection
Please choose what division you will be applying for.
Current Certifications
The minimum coaching level for Select Head Coaches is Coach Level 2 or Coach 1 for Novice Select and below. All applicants require certificates in Respect in Sport for Activity Leaders and Gender Identity + Expression and a Police Clearance (2018 or newer).






  1. Check All That Apply

Coaching Experience
You are only required to complete this section if you have never been a Head Coach with House League Select.
  1. If accepted to a House League Select coaching position I agree to follow the BLOMHA Constitution, By-Laws and Regulations, House League Select Policies and any other directives that the Rep Committee may issue. I also agree to abide by the Rules and Regulations of our Governing Bodies (Alliance Hockey, OHF and Hockey Canada).

    I agree to submit a Police Vulnerable Sector Record Check, upgrade my coaching certifications if required and complete all other certificates as stipulated above. I agree that all certifications will be completed prior to my team's first ice time.

    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