2023-2024 Coaches Application (Kawartha Minor Hockey)

Print 2023-2024 Coaches Application

2023-2024 coaching applicants are encouraged to apply early. Deadline for applying for a coaching positions will be March 31st, 2023. Interviews will take place at a later date (TDB). Applying for a coaching position does not guarantee you will be selected for a team at KMHA. All applications will be considered and the final decision is at the discretion of the KMHA Coaches Selection Committee.

Applicants Information

First Name^*
Last Name^*
Address^*
City^*
Contact Phone Number^*

Example: ###-###-####
Is this a home or cell number^*
Home PhoneCellular Number
Other Contact Phone Number

Example: ###-###-####
Is this other # a home or cell number
Home PhoneCellular Number
Email Address^*

Example: [email protected] Your submission will be sent to this address.

Current Certifications

Please list all current certifications and expiry dates. Three boxes have been provided for additional coaching certificates. Please list highest level certifications first.

Coaching Certification

List Certification name/level (i.e. Development 1). If no certification list "Will obtain level X"

Expiry Date

Open the calendar popup.

Coaching Certification (Additional 1)

List Certification name/level (i.e. Development 1).

Expiry Date (Additional 1)

Open the calendar popup.

Coaching Certification (Additional 2)

List Certification name/level (i.e. Development 1).

Expiry Date (Additional 2)

Open the calendar popup.

Position Request

Select your 1st team choice from list. If you are not selected to coach this team your 2nd team choice will then be evaluated for a possible coaching opportunity. Selecting a 2nd Choice team is not required.

Team Selection (1st Choice)^*
Team Selection (2nd Choice)

References

Please provide 3 references (if possible). References may or may not be contacted.

Reference 1 - Full Name
Reference 1 - Phone Number

Example: ###-###-####
Reference 1 - Email

Example: [email protected]
Reference 2 - Full Name
Reference 2 - Phone Number

Example: ###-###-####
Reference 2 - Email

Example: [email protected]
Reference 3 - Full Name
Reference 3 - Phone Number

Example: ###-###-####
Reference 3 - Email

Example: [email protected]

I have read the application information contained in the 2023-2024 Coaches Application Package.
I agree to have my coach certifications, for the level of coaching I am applying, valid for the 2023-2024 season.
I agree to have a Police Record Check, or declaration (if applicable) completed, and will provide to KHMA Coaches Selection Committee.
I understand that applying for a coaching position does not guarantee I will be selected for a team at KMHA.
I understand that all applications will be considered and the final decision is at the discretion of the KMHA Coaches Selection Committee.

I agree to the terms and conditions stated above^*

Human Validation