2021-2022 Bench Staff Application (Woolwich Minor Hockey)
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2021-2022 Bench Staff Application
Personal Information
Please provide all pertinent information for Head Coach, Assistant Coach, Trainer, Manager and On Ice Helper positions.
Name
*
First and Last Name
Address
*
Primary Phone
*
Example: ###-###-####
Alternative Phone
Example: ###-###-####
Email Address
*
Example:
[email protected]
Your submission will be sent to this address.
Date of Birth
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What is your occupation?
Credentials
Please provide information on your playing and coach history including education/certification.
OMHA Coaching/Trainers Level Attained
*
Include Level and Expiry Date. See https://www.omha.net/coach for more information.
Highest Level of Hockey you played?
*
Previous teams you've been involved with?
Include position, sport, centre name, age, level and classification. Ex. Hockey Head Coach, Major Bantam A, Woolwich
Do you have the required OMHA coaching certification to coach the team you are applying for?
*
Yes
No
Please see OMHA site for coaching requirements - https://www.omha.net/coach
Do you have your Trainer's Certification?
*
Yes
No
Team Requested
Note: Applications for AE Teams will remain confidential until A teams are chosen unless the coach selected is a non-parent.
Team Level
*
Local League
Select
Representative
Position Applied For
*
Head Coach
Asst Coach
Trainer
Manager
On-Ice Helper
First choice of Team?
*
Ex. U11 A, U11 AE
Second Choice of Team?
Ex. U11 A, U11 AE
If not selected for your preferences, are you willing to be part of another staff?
*
Yes
Not Interested
Are you involved in any relationships which could pose a conflict when selecting players for your preferred teams?
*
Yes
No
If yes to above question, please explain.
Validation
Have you reviewed the material for the team/age you are applying for?
*
Yes
No
Ex. Atom Pathway, Novice & Below Implementation Guide
Please provide 3 references who can comment on your experience, qualifications, and character.
*
Provide name, address, phone, and email address of 3 references.
Have you had any involvement with the police or any other authorities including sports associations which could negatively reflect on your suitability as a coaching staff member?
*
Yes
No
If yes to above, provide details.
Commitment
I agree, that if selected, I will upgrade my coaching certification as requested by WMHA, attend all coach meetings, and provide a Police Vulnerable Sector Check. I understand that the Coaching Selection Committee may contact other members of WMHA and other associations concerning this application. I agree to familiarize myself with and abide by the WMHA Code of Conduct.
I agree to familiarize myself with Hockey Canada’s National Coaching Certification Program (NCCP) requirements for coaching minor hockey and ensure that I maintain the required level of certification. I will accept any judgment of the WMHA for my failure to abide by the Hockey Canada, OMHA and WMHA Constitution, By-Laws, Policies, Procedure, Rules, Regulations, Guidelines and Codes of Conduct, which may include suspension or removal from the Coach position.
I agree to familiarize myself with and follow the WMHA Discipline & Dispute Resolution Process and agree to abide by any decisions by the WMHA executive resulting from the application of this process. I acknowledge that I may be removed from any coaching position assigned by the WMHA at any time at the sole discretion of the WMHA. I agree to indemnify and hold harmless the WMHA for my failure to abide by WMHA, OMHA, and/or Hockey Canada guidelines.
I support the WMHA’s philosophy of player development and will respect all players, team officials, on ice officials, parents, WMHA Executive and will strive to create a positive environment. I understand that it is at the sole discretion of WMHA whether or not to proceed with the application process. I agree that the decisions of the WMHA Coach Selection Committee are final and I hold the Committee, the WMHA, and/or any other governing body harmless for the decision.
I agree that my application is not part of a "consortium". For purposes of this application, a "consortium" is defined as 2 or more individuals applying for the same team in order to monopolize the team and if one is successful, they appoint the other applicant(s) as part of their staff.
I understand that all information I have provided is to be considered true and I understand that submitting any false information may lead to the application becoming void or if my application is successful, it may result in immediate dismissal as a coach, referee, or volunteer within the WMHA.
I agree to the terms and conditions stated above
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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» 2021-2022 Bench Staff Application
Printed from woolwichminorhockey.ca on Saturday, May 28, 2022 at 4:43 PM
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