2021 -2022 REP Coaches Application (Whitchurch Stouffville Minor Hockey Association)
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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
*
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Date of Submission
Team Selection
Which age group are you apply for?
*
Select One...
U8
U9
U10
U11
U12
U13
U14
U15
U16
U18
Which level are you applying for
*
AA
A
AE
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
AA
A
AE
Check All That Apply
If either of your 2 choices are not available, would you be interested in coaching another level?
*
Yes
No
Possibly
Will you have a son or daughter be playing on the team you are applying for?
*
Yes
No
Other
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)
*
Yes
No
Do you have an up-to-date Vulnerable Sector Screening (VSS) from the York Regional Police on file with the WSMHA
*
Yes
No
Expiry Date of VSS if you know it
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If not, do you agree to obtain a VSS from the York Regional Police prior to acceptance as a Head Coach
*
Yes
No
Coach 1 or Intro to Coach
*
Yes
No
N/A
Coach 2 or Development 1 - Mandatory for Rep Coaches from U9 - U12
*
Yes
No
N/A
Development 1 - Mandatory for U13 and above
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Yes
No
N/A
If you have no certifications, do you agree to obtain the proper coaching certifications by August 31, 2021
*
Yes
No
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
*
Human Validation Failed, Please Try Again
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Printed from wsmha.com on Tuesday, January 19, 2021 at 8:06 PM
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