2021 -2022 REP Coaches Application (Whitchurch Stouffville Minor Hockey Association)

Print 2021 -2022 REP Coaches Application

I, the undersigned, will accept any judgment of the WSMHA for my failure to abide bt the WSMHA constitution and By-Laws (both available on the WSMHA website) which may include suspension or removal from the coach position. I acknowledge that I may be removed from any coaching position assigned by the WSMHA at any time at the sole discretion of the WSMHA whether or not to proceed with the application process. I agree that the decisions of the Coach Selection Committee are final and I hold the Committee, WSMHA and/or any other governing body harmless for the decision.

Please Note:

1. Applications will not be accepted without references.
2. Applicants may be asked to attend an interview with the Coach Selection Committee. Dates of interviews T.B.A
3.There will be no extension for applications without the WSMHA's approval.
4. Vulnerable Sector Screening checks are required in accordance with OMHA guidelines.
5. If selected, you must agree to sign a Coach's Contract before officially being assigned to a team.

I certify that I understand the process as decribed above and that the information I have provided is accurate^*

Personal Information

Name^*
Telephone Number

Example: ###-###-####
Other Contact Number

Please enter a second contact number.
Email Address^*

Example: [email protected] A copy of your application will be sent to this address for your records

Date^*

Open the calendar popup.

Date of Submission

Team Selection

Which age group are you apply for?^*
Which level are you applying for^*
AAAAE
Check All That Apply
Select from this list a 2nd choice
U8
U9
U10
U11
U12
U13
U14
U15
U16
U18
Check All That Apply
Select from the list a 2nd choice of team level
AAAAE
Check All That Apply
If either of your 2 choices are not available, would you be interested in coaching another level?^*
YesNoPossibly
Will you have a son or daughter be playing on the team you are applying for? ^*
YesNoOther
If YES to above question, can you please state their name
What was the level your child played last season?

example: U9 AE or U10 HL
Being as objective as possible, would you please place your son/daughter in the top 3rd, middle 3rd or bottom 3rd of competative players in this age group

400 characters

Coaching Qualifications

Please fill in all the certifications that you have.

Do you have your Speak Out (RIS/PRS)^*
YesNo
Do you have an up-to-date Vulnerable Sector Screening (VSS) from the York Regional Police on file with the WSMHA^*
YesNo

Expiry Date of VSS if you know it

Open the calendar popup.

If not, do you agree to obtain a VSS from the York Regional Police prior to acceptance as a Head Coach^*
YesNo
Coach 1 or Intro to Coach^*
YesNoN/A
Coach 2 or Development 1 - Mandatory for Rep Coaches from U9 - U12^*
YesNoN/A
Development 1 - Mandatory for U13 and above^*
YesNoN/A
If you have no certifications, do you agree to obtain the proper coaching certifications by August 31, 2021^*
YesNo
Use this box to tell us about any other coaching certificates you may have. List what other sport/organization that may apply

500 characters

Coaching Experience

Last team you were involved with. Please list team name, year, level of team and your position on that team.^*

List the teams you have been either a head coach, assist coach, manager trainer. 500 characters
2nd last team you were involved with. Please list team name, year, level of team and your position on that team.

List the teams you have been either a head coach, assist coach, manager trainer. 500 characters
Briefly describe any training programs or other clinics you have attended, may be for other sports etc.

500 characters
Coaching goals, objectives and philosophy

Briefly describe you coaching goals, objectives and philosophy. 500 characters
Use this box to tell us about any other coaching experience you may have.

500 characters

References

Please provide names and contact information of up to 3 references that we may contact. One being a parent reference.

Name, relationship and contact number^*
Name, relationship and contact number
Parent Reference. Please provide their name, relationship and contact number^*

Human Validation

Check The Box ^*

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Tue Jan 19, 2021

Printed from wsmha.com on Tuesday, January 19, 2021 at 8:06 PM

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