SELECT COACH APPLICATION (NORFOLK MINOR HOCKEY ASSOCIATION)

SELECT COACH APPLICATION

CONTACT INFORMATION

First Name:^*

Required

Last Name:^*

Required

Address:^*

Required

City:^*

Required

Postal Code:^*

Required

Home Telephone:

Example: ###-###-####

Mobile Telephone:

Example: ###-###-####

Email:

Example: [email protected]

DIVISIONS

Select ALL divisions to which you are applying as Head Coach.

Under-9 (U9)

Select

Under-11 (U11)

Select

Under-13 (U13)

Select

Under-15 (U15)

Select

Under-18 (U18)

Select

Would you be willing to act as an ASSISTANT COACH or OTHER BENCH STAFF in the event you are not selected as HEAD COACH?^*

Required

POSITIONS^*

Assistant Coach
Trainer
Manager
Not applicable

Check ALL positions you would be willing to fill if you are unsuccessful obtaining a Head Coaching position

QUALIFICATIONS

COACH 1 - INTRO TO COACH^*

Required

Date Completed:

If yes to COACH 1 - INTRO TO COACH, select date you completed the clinic/seminar

Location:

If yes to COACH 1 - INTRO TO COACH, enter location you completed the clinic/seminar

COACH 2 - COACH LEVEL^*

Required

Date Completed:

If yes to COACH 2 - COACH LEVEL, select date you completed the clinic/seminar

Location:

If yes to COACH 2 - COACH LEVEL, enter location you completed the clinic/seminar

DEVELOPMENT 1^*

Required

Date Completed:

If yes to DEVELOPMENT 1, select date you completed the clinic/seminar

Location:

If yes to DEVELOPMENT 1, enter location you completed the clinic/seminar

HIGH PERFORMANCE 1^*

Required

Date Completed:

If yes to HIGH PERFORMANCE 1, select date you completed the clinic/seminar

Location:

If yes to HIGH PERFORMANCE 1, enter location you completed the clinic/seminar

INSTRUCTIONAL 1 (IS1)^*

Required

Date Completed:

If yes to IS1, select date you completed the clinic/seminar

Location:

If yes to IS1, enter location you completed the clinic/seminar

INSTRUCTIONAL 2 (IS2)^*

Required

Date Completed:

If yes to IS2, select date you completed the clinic/seminar

Location:

If yes to IS2, enter the location you completed the clinic/seminar

INSTRUCTIONAL 3 (IS3)^*

Required

Date Completed:

If yes to IS3, select date you completed the clinic/seminar

Location:

If yes to IS3, enter location you completed the clinic/seminar

INSTRUCTIONAL ADVANCED^*

Required

Date Completed:

If yes to IS ADVANCED, select date you completed the clinic/seminar

Location:

If yes to IS ADVANCED, enter the location you completed the clinic/seminar

INSTRUCTIONAL MASTER^*

Required

Date Completed:

If yes to IS MASTER, select date you completed the clinic/seminar

Location:

If yes to IS MASTER, enter the location you completed the clinic/seminar

OTHER COURSES/TRAINING

Enter ALL other courses/training not previously identified

Attachments^*

Allowed extensions: .pdf.
Maximum # Files: 10. Maximum File Size: 4MB.

Attach ALL certifications as PDF documents here

EXPERIENCE

HOCKEY COACHING EXPERIENCE:

List COACHING EXPERIENCE in order, starting with the most recent. Include the YEAR, ASSOCIATION & TEAM NAME, AGE GROUP, and POSITION

OTHER SPORTS:

List COACHING EXPERIENCE in order, starting with the most recent. Include the YEAR, ASSOCIATION & TEAM NAME, AGE GROUP, and POSITION

PLAYING EXPERIENCE:

List playing experience for ALL sports

BENCH STAFF

List potential BENCH STAFF in the space provided below. Include their FULL NAME and POSITION.

STAFF:

**NOTE: NMHA highly recommends coaches select bench staff that are representative of each minor hockey association involved in the REP Partnership.**

REFERENCES

List COACHING REFERENCES in the space provided below. Include FULL NAME, TELEPHONE NUMBER, and RELATIONSHIP.

REFERENCES:^*

Required

ADDITIONAL INFORMATION

Do you have a child currently playing or trying out for a team in Norfolk Minor Hockey Association?^*

Required

Are you certified for the level for which you are applying?^*

Required

If you are not certified at the required level, are you available to take the appropriate courses to attain the required level?^*

Required

If you have a child trying out for the team for which you are applying, do you feel they will make the team?^*

Required

If you have a child trying out for the team for which you are applying and the independent committee does not assess your child to make the team, would you still coach the team?^*

Required

UNDERTAKING

1. I hereby consent to the disclosure of the above information.

2. I hereby acknowledge the authority of Hockey Canada, Ontario Minor Hockey Association and agree to carry out and abide by their constitutions, bylaws, rules and regulations.

3. I hereby acknowledge that I have read and understand the team official's role as outlined in the 'Team Officials Contract' attached to this Coaching Application Form.

4. I understand that submission of this application does not guarantee a position. I will make myself available for an interview with the Coach Selection Committee, given reasonable notice, should an interview be required. I further understand that the association and its committee have the final responsibility of selecting applicants and I have no resource should I not be selected.

5. By way of this application, I give permission to the Norfolk Minor Hockey Association to pursue a criminal record search of myself should I be selected for a position.

I agree to the terms and conditions stated in the UNDERTAKING above^*

TEAM OFFICIALS CONTRACT

It is the intention of this Contract to promote fair play and respect for all participants within the Association. All volunteers must sign this Contract before being allowed to participate in hockey and must continue to observe the principles of Fair Play.

Fair Play Code
I will be reasonable when scheduling games and practices remembering that young athletes have other interests and obligations.

I will teach my players to play fair and to respect the Rules, Officials, Opponents and teammates.

I will ensure all players receive equal instruction; discipline, support and appropriate fair play time.

I will not ridicule or yell at my players for making mistakes or for performing poorly. I will remember that children play to have fun and must be encouraged to have confidence in themselves.

I will make sure that equipment and facilities are safe and match the players’ ages and ability.

I will remember players need a coach they can respect. I will be generous with praise and set a good example.

I will obtain proper training and continue to upgrade my coaching skills.

I will promote the combined values of the Ontario Minor Hockey Association and the Norfolk Minor Hockey Association: fair play, fun, excellence, good citizenship, integrity & honesty, equity and respect.

I agree to abide by the principles of the fair play code as set by the Norfolk Minor Hockey Association, Hockey Canada, the Ontario Minor Hockey Association and supported by the Hockey Association.

I also agree to abide by the Rules, Regulations and Decisions as set by Norfolk Minor Hockey Association.

I agree to the terms and conditions stated in the TEAM OFFICIALS CONTRACT^*

SELECT COACH APPLICATION (NORFOLK MINOR HOCKEY ASSOCIATION)

OMHA Digital Network

CONTACT INFORMATION

DIVISIONS

QUALIFICATIONS

EXPERIENCE

BENCH STAFF

REFERENCES

ADDITIONAL INFORMATION

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