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2024-25 House League Level Coaching Application

Desired Coaching Position for 2024-25 Season

Desired Age Level for the 2024-25 Season

Preferences

Coach related child only?

If "Yes" what is their current age and level?

Qualifications

Certification 1

Certification

Year Obtained

Number (if applicable)

Speak Out?

Number (if applicable)

Police Check Completed?

Certification 2

Certification 3

Certification 4

Experience

Total Years of experience, including those listed below

indicate your last 5 years of experience working with children, starting with the most recent.

Organization

Age Group

Level

Position

Season

Experience 1

Experience 2

Experience 3

Experience 4

Experience 5

Coaching Philosophy/Other Notes to the Selection Committee:

Thanks for submitting!

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