2023-2024 Rep. Coach Application (Hespeler Minor Hockey Association)
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2023-2024 Rep. Coach Application
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2023-2024 Rep. Coach Application
IF SELECTED AS A TEAM OFFICIAL, I AGREE TO ABIDE BY THE HESPELER MINOR HOCKEY ASSOCIATION RULES OF OPERATION, CONSTITUTION AND BY- LAWS, AND CODE OF CONDUCT.
I ALSO AGREE TO WHEREVER POSSIBLE TO ALWAYS TRY AND PROMOTE THE PLAYING OF HOCKEY AT ITS HIGHEST LEVEL.
I AM ALSO WILLING TO PARTICIPATE IN DEVELOPMENT PROGRAMS PROVIDED BY THE HESPELER MINOR HOCKEY ASSOCIATION.
I ALSO AGREE THAT MY STAFF AND I WILL ABIDE BY THE REQUIREMENTS FOR POLICE RECORDS CHECKS, NCCP CERTIFICATIONS AND COMPLETION OF ABUSE AND HARASSMENT PROGRAMS.
I WILL ACCEPT FULL RESPONSIBILITY FOR MY ACTIONS AND THE ACTIONS OF MY STAFF WHILE ACTING AS AN OFFICIAL OF THE HESPELER MINOR HOCKEY ASSOCIATION.
I agree to the terms and conditions stated above
*
APPLICANT INFORMATION
Applicant's Name
*
Street Address
*
City
*
Postal Code
*
Home Phone
*
Example: ###-###-####
Cell Phone
*
Example: ###-###-####
Email
*
Example: yo
[email protected]
. Your submission will be sent to this address.
COACHING POSITION SOUGHT
Select the team you are applying to coach.
*
U18A
Choose the team you are applying to coach.
Will you have children playing on the team you are applying to coach?
*
Yes
No
Yes/No
Are you prepared to utilize Hockey Canada drill hub software for your practice planning?
*
Yes
No
Yes/No
Would you consider an Assistant Coach role should someone else be selected as the Head Coach?
*
Yes
No
Yes/No
COACHING EXPERIENCE
Current Hockey Coaching Certifications
*
Respect in Sport - Activity Leader
Gender Identity and Expression - Training for Team Officials
Coach 1 - Intro to Coach (C1)
Coach 2 - Coach Level (C2)
Development 1 - Competition Introduction (D1)
High Performance 1 - Competition Level (HP1)
Hockey Trainer Certification (HTCP/HTCP2)
None
Check All That Apply
Other Coaching Certifications
List any other certiciations.
List your previous coaching experience.
*
Include Year, Division, Level, Association/Team
3 References
*
Include Name and Phone Number
PROPOSED TEAM STAFF
If known, please list your proposed Team Staff (Assistant Coaches and/or Trainers) and their Coaching Certifications.
Staff Member #1 - Name and Team Role
John Doe - Assistant Coach
Staff Member #1 Hockey Coaching Certifications
Respect in Sport - Activity Leader
Gender Identity and Expression - Training for Team Officials
Coach 1 - Intro to Coach (C1)
Coach 2 - Coach Level (C2)
Development 1 - Competition Introduction (D1)
High Performance 1 - Competition Level (HP1)
Hockey Trainer Certification (HTCP/HTCP2)
None
Check All That Apply
Staff Member #2 - Name and Team Role
John Doe - Assistant Coach
Staff Member #2 Hockey Coaching Certifications
Respect in Sport - Activity Leader
Gender Identity and Expression - Training for Team Officials
Coach 1 - Intro to Coach (C1)
Coach 2 - Coach Level (C2)
Development 1 - Competition Introduction (D1)
High Performance 1 - Competition Level (HP1)
Hockey Trainer Certification (HTCP/HTCP2)
None
Check All That Apply
Staff Member #3- Name and Team Role
John Doe - Assistant Coach
Staff Member #3 Hockey Coaching Certifications
Respect in Sport - Activity Leader
Gender Identity and Expression - Training for Team Officials
Coach 1 - Intro to Coach (C1)
Coach 2 - Coach Level (C2)
Development 1 - Competition Introduction (D1)
High Performance 1 - Competition Level (HP1)
Hockey Trainer Certification (HTCP/HTCP2)
None
Check All That Apply
ADDITIONAL INFORMATION
Please provide any additional information that will help in the evaluation of this application.
IF YOU ARE GRANTED AN INTERVIEW BE PREPARED TO DISCUSS THE FOLLOWING
• YOUR STRENGTHS AS A HEAD COACH
• THE CHANGES YOU FEEL NECESSARY FOR THE TEAM APPLIED
• SHORT AND LONG TERM GOALS FOR THE TEAM APPLIED
COACHES WILL BE EXPECTED TO PROVIDE A SAMPLE OF 3 PRACTICES PLANS AS PART OF THEIR INTERVIEW PROCESS.
I agree to provide and discuss the information requested
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again