2016-2017 - House Team Staff Application (Guelph Girls Hockey Association)
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2016-2017 - House Team Staff Application
Personal Information
Name:
Address:
City & Postal Code:
Home Phone:
Example: ###-###-####
Cell Phone:
Example: ###-###-####
Email Address:
Example:
[email protected]
Divsion Your Daughter Plays In:
NA for non-parents; ie. Novice
Postition(s)
I am interested in the following position(s)
Positions:
Coach
Assistant Coach
Trainer
Assistant Trainer
On-ice helper
Dressing Room helper (females only)
Convener
Check All That Apply
1st Choice
2nd Choice
House Team
I am interested in helping with the following House teams:
Teams:
Novice
Atom
Peewee
Bantam
Midget/Intermediate
Check All That Apply
Certifications
We encourage interested people to apply even if you do not currently have the required certifications. Required certification/ re-certification for Coaches and Trainers must be obtained by October 31.
Speak Out/ Respect in Sport/ PRS #:
Trainer (HTCP) Certification(s):
Trainer Course Expiry Date:
Coach (NCCP) Certification(s) Number:
Coach (NCCP) Certification(s) Expiry Date:
Coaching / Trainer Experience
(not necessarily hockey)
Season
(i.e., 2012-13)
Position Held:
Team Level/ Type:
(i.e., Bantam HL, Novice rep)
Organization:
Reference
Please provide one reference (someone who would attest to your coaching/ Trainer ability and/ or aptitude):
Name:
Phone:
Example: ###-###-####
Email:
Example:
[email protected]
How does this person know you?
Please include any further details of relevant experience or workshops/ seminars (i.e., First Aid, coaching clinics, etc.)
Clinics/ Workshops
Are you willing to attend clinics and/or workshops to improve your coaching / trainer skills?
Yes
No
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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