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

Personal Information

Name:

Birth date:^*

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)

Team

I am interested in helping in the following team:

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.)

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

Personal Information

Postition(s)

Team

Certifications

Coaching / Trainer Experience

Reference

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