2022-2023 Initiation Program Head Coach Application (BLOMHA)
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2022-2023 Initiation Program Head Coach Application
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2022-2023 Initiation Program Head Coach Application
PLEASE NOTE THIS FORM IS TO BE USED FOR INITIATION PROGRAMS ONLY - U6, U7, U8.
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]
Your submission will be sent to this address.
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
First Choice
*
Select One...
U6 (2017-2018)
U7 (2016)
U8 (2015)
Divisions are composed of separate age groups.
Second Choice
Select One...
U6 (2017-2018)
U7 (2016)
U8 (2015)
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
House League Initiation Program HEAD COACH minimum requirements: must have Coach 1 - Intro to Coach | ALL HEAD COACHES must have completed the online courses for Respect in Sport for Activity Leaders and Gender Identity + Expression prior to the start of the season | ALL HEAD COACHES must have a valid Police Clearance (2019 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, (2019 or newer)
No, I will apply immediately upon my acceptance to a team
If accepted to a House League INITIATION 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
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