2022/2023 Coaches Application (Kawartha Minor Hockey)

Print 2022/2023 Coaches Application

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.

Past Experience

Previous Coaching Position

List Your Coaching Previous Coaching Position (i.e. Head Coach, Asst. Coach, etc)
Organization

What organization was this coaching position held at?
Coaching Certification

List Highest level of coaching certification (i.e. Development Certified).

Certification Expiry Date

Open the calendar popup.

Coaching Certification (Additional 2)

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

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)
Which Team would you like to Coach?

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 2022-2023 Coaches Application Package.
I agree to have my coach certifications, for the level of coaching I am applying, valid for the 2022-2023 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