Erindale Hockey Association  

 

Applicant Information

Last Name
First Name
Phone Number
Email Address
Street address
City
Postal Code

Desired Coaching Position:

  Age Level
1st Choice    
2nd Choice    
3rd Choice    

Preferences:

Coach related child only?  
If "Yes", what is his/her
current age and level?

Qualifications:

  Certification Year Obtained Number (if applicable)
Certification 1
Certification 2
Certification 3
Certification 4
Speak Out?  
Police Check Done?    

Experience:

Total years of experience, including those listed below

Indicate your last 5 years experience working with children, starting with the most recent:

Organization Age Level Position Season

Coaching Philosophy/Other Notes to Selection Committee:

Please note minimum volunteer requirements include Speak Out training and Police Check. In addition, coach positions require additional certification, depending on age and level. See chart online. Trainers need Trainer I certification as a minimum, but Trainer II is preferable.

 
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