Team Staff Application (TCDMHA)

Print 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 seasonGood for another yearGood for another 2 yearsNot Sure

Date of Birth^*

Required to Roster Team officials

Preferred Team

Please consider my application for:^*
Team Preference ^*

1st choice
Team Preference^*

2nd Choice
I prefer
REP Local League (OMHA)House League (OWHA)
Select either Rep, LL or HL
If these choices are not available would you accept a different position
YESNO
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 2017-2018

Association/Team/Position
Experience 2016-2017

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?