2022/2023 Coaches Application (Kawartha Minor Hockey)
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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 Phone
Cellular Number
Other Contact Phone Number
Example: ###-###-####
Is this other # a home or cell number
Home Phone
Cellular 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
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Coaching Certification (Additional 2)
List Certification name/level (i.e. Development Certified).
Expiry Date (Additional 2)
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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)
*
Select One...
Timbit
Sr. Initiation
Tyke
Novice OMHA
Novice Three County
Atom OMHA
Atom Three County
Peewee OMHA
Peewee Three County
Bantam OMHA
Bantam Three County
Midget OMHA
Midget Three County
Bantam AE
Midget AE
Team Selection (2nd Choice)
Select One...
Timbit
Sr. Initiation
Tyke
Novice OMHA
Novice Three County
Atom OMHA
Atom Three County
Peewee OMHA
Peewee Three County
Bantam OMHA
Bantam Three County
Midget OMHA
Midget Three County
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
Check The Box
*
Human Validation Failed, Please Try Again
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