Coaches Applications Form 18-19 (South Kent Minor Hockey)

Print Coaches Applications Form 18-19

Applicant Information

Date Submitted^*

Select the date that this application is being submitted

Address^*

Enter your address. House/apartment number, street, PO Box
City^*

Enter the City you live in
Postal Code^*

Enter your postal code
At this address since^*

How long have you lived at this address?
Home phone number^*

Example: ###-###-####
Cell phone number^*

Example: ###-###-####
Office phone number

Example: ###-###-#### x###
Email address^*

Example: [email protected] Your submission will be sent to this address.

Birthdate^*

Enter your birthdate. Click the month to browse to previous years

Coaching Information

List the last 2 teams you have been affiliated with^*

Please provide year and CHA Affiliation
Coaching Certifications^*
Development Stream 1Develpoment Stream 2Intermediate (old NCCP)High PerformanceAdditional Courses
Check All That Apply
Coaches Certifications freeform

Enter any additional information about your certifications
Coaches Certification Numbers

Enter your coaching certification numbers
Trainers Certification Number

Enter your trainers certification number (if applicable)
Head coaching position being applied for^*
HIP
Tyke
Novice LL
Novice Rep
Novice Select
Atom LL
Atom Rep
Peewee LL
Peewee Select
Peewee Rep
Bantam LL
Bantam Rep
Midget LL
Midget Rep
Juveniles
Check All That Apply
Will you have a child on the team you are applying for?^*
YesNo
Would you consider coaching another team?^*
YesNo
If Yes indicate other team(s)
Would you consider being a mentor coach for a non-parent assistant?^*
YesNo
Coaching Philosophy^*

What is your philosophy on coaching Minor Hockey? If you need more room than is provided, email your submission to [email protected]