Team Staff Application (TCDMHA)
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Team Staff Application
Please complete a application for all bench staff includes coaches, assistant coaches, trainers, managers
Consent to Disclosure of Personal Information
Applicants will be required to obtain a "Consent to Disclosure of Personal Information" form from their local Ontario Provincial Police Detachment, where it can be completed and processed prior to final coach selection
I agree to the terms and conditions stated above
*
Personal Information
NAME:
*
Address:
City:
Postal Code
Phone: (Res)
*
Example: ###-###-####
Email Address:
*
Example:
[email protected]
I am OMHA Certified with the following
*
None
Initiation (Chip)
NCCP Coach Stream
NCCP Development 1
NCCP Development 2
Trainer
Respect in Sport Activity Leader (PRS)
Gender Identity and Gender Expression Training
Check All That Apply
I will need to Recertify or upgrade
This season
Good for another year
Good for another 2 years
Not Sure
Date of Birth
*
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Required to Roster Team officials
Preferred Team
Please consider my application for:
*
Select One...
Coach
Assistant Coach
Trainer
Manager
Volunteer
Team Preference
*
Select One...
Tyke/Initiation
Novice Girls
Novice
Atom
Atom Girls
PeeWee
PeeWee Girls
Bantam
Bantam Girls
Midget
Midget Girls
Intermediate Girls
Juvenille
1st choice
Team Preference
Select One...
Tyke/Initiation
Novice Girls
Novice
Atom
Atom Girls
PeeWee
PeeWee Girls
Bantam
Bantam Girls
Midget
Midget Girls
Intermediate Girls
Juvenille
2nd Choice N/A
2nd Choice
I prefer
REP
Local League (OMHA)
House League (OWHA)
Select either Rep, LL or HL
If you are interested in different positions for each of your 1st & 2nd choice please advise
(ex. Choice 1 - Trainer, Choice 2 - Asst Coach)
Qualifications
Experience 2018-2019
Association/Team/Position
Experience 2017-2018
Association/Team/Position
Other Experience
List any other coaching experience
If accepted as Head Coach do you have suggestions for assistant coach, trainer, manager?
Please list names and position, these names will only be used for consideration. FINAL selection will be made by executive
What is your coaching philosophy
What is the anticipated role of your assistant coaches, manager and trainers?
What are your team initiatives, objectives and goals?
Comments
Any additional comments or information
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
Team Sites
Initiation
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Initiation 2
Novice
Novice Girls
Novice LL
Novice Rep
Atom
Atom Girls C
Atom Girls HL
Atom LL
Atom Rep
PeeWee
PeeWee Girls B (folded)
PeeWee Girls C
PeeWee Girls HL
PeeWee LL
PeeWee Rep
Bantam
Bantam Girls C
Bantam LL
Bantam Rep
Midget
Midget Girls B
Midget Girls C
Midget LL
Midget Rep
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Sun Dec 15, 2019
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Township of Chatsworth & District Minor Hockey
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