2022-2023 Team Staff Application (Guelph Girls Hockey Association)

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Personal Information

Name:

Birth date:^*

Open the calendar popup.

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)
Manager
Check All That Apply
1st Choice
2nd Choice

Team

I am interested in helping in the following team:

Divisions:
U9
U11
U13
U15
U18
U22
Senior
Check All That Apply
Program Level:
AAABBBLL
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 Certification(s) Number:
Coaching Level:

ie. D1 Trained, D1 Certified, HP1

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.)

Human Validation

Check The Box ^*

2022-2023 Team Staff Application (Guelph Girls Hockey Association)

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