U9+ Head Coach Application (BLOMHA)
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U9+ Head Coach Application
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U9+ Head Coach Application
APPLICANT INFORMATION
YOUR Name
*
YOUR Date of Birth
*
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Street Address
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City
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Postal Code
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Email address
*
Example
[email protected]
Phone Number
*
Example: ###-###-####
COACHING EXPERIENCE
Have you volunteered with BLOMHA previously?
*
Yes
No
In what capacity?
Head Coach
Assistant Coach
Trainer
Manager
Parent 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:
*
Yes
No
Division
*
Select One...
House League
Select
Rep MD
If NOT selected as Head Coach, would you be willing to be an Assistant Coach?
Yes
No
First Choice
*
Select One...
U6 (2017-2018)
U7 (2016)
U8 (2015)
U9 (2014)
U10 (2013)
U11 (2012)
U12 (2011)
U13 (2010)
U14 (2009)
U15 (2008)
U16 (2007)
U19 (04/05/06)
Divisions are composed of separate age groups.
Second Choice
Select One...
U9 (2014)
U10 (2013)
U11 (2012)
U12 (2011)
U13 (2010)
U14 (2009)
U15 (2008)
U16 (2007)
U19 High School (04/05/06)
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 CERTIFICATIONS
ALL HEAD COACHES require certifications and a valid police clearance (2-3 years old). Please contact the office if you are uncertain which courses you currently hold.
Hockey Canada Certification
*
Coach 1 - Intro to Coach
Coach 2 - Coach Level
Development 1 Trained
HTCP Trainer Level 1 (completed in 2019, 2020 or 2021)
Respect in Sport for Activity Leaders Certificate
Gender Identity + Expression Certificate
HU - Safe Return to Hockey
None
CHECK ALL THE CERTIFICATIONS YOU CURRENTLY HOLD.
Police Clearance
*
Yes (2019 or newer)
No, I will apply immediately upon my acceptance to a team
If accepted to a House League coaching position I agree to follow the BLOMHA Constitution, By-Laws and Regulations, Rep MD and 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.
I AGREE TO THE TERMS AND CONDITIONS STATED ABOVE
*
Human Validation
Check The Box
*
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