Coaches Application Form (Arran-Elderslie Minor Hockey)

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Print Coaches Application Form

Please fill out our new online Coaches Application form.

Personal Information

Name:^*
Address:^*
Phone:^*
Email:^*

Team Preferences

Please describe your specific interest in the team(s) you choose.

1st Team Choice:
2nd Team Choice:
Do you have a child playing in the age group of either team you have selected?
If these choices were not available, would you accept a different position.

Coaching/Training Certification

CHIP LEVEL and Year Obtained
Coach Level
Have you completed the PRS Course?

Previous Coaching and Experience

Please list your previous coaching experience

Please list Team, Level and/or association
List in detail your experience in hockey which will assist you in performing the position you seek.

(refereed, or level or hockey played, number of years at that level etc.
Excluding hockey, do you have any experience or qualifications as a teacher, instructor or trainer of children.
How will you select your coaching staff and how will they be used in on ice activities.

References

Please list two personal references that we may contact.

Name & Phone Number^*
Name & Phone Number^*
AEMHA allows coaches the opportunity to choose their coaching staff. All members of the coaching staff must be properly certified. Coaches will be asked to submit their choices to the executive for approval. All members of the coaching staff will be subject to a police criminal records check.^*
I have read the above and agree that AEMHA has the right to refuse any coaches selected for your staff if deemed necessary.
Applicant Agreement^*
I understand that completing a Coaches Application with AEMHA does not guarantee me a coaching position with Arran Elderslie Minor Hockey

Human Validation

Check The Box ^*