WMHA REP and MD Coaching Application (Woodstock Minor Hockey)

Personal Information

NAME^*

Required

D.O.B.^*

Required

ADDRESS^*

Required

CITY^*

Required

POSTAL CODE^*

Required

HOME PHONE^*

Required

Example XXX-XXX-XXXX

CELL PHONE^*

Required

Example XXX-XXX-XXXX

E-MAIL ADDRESS^*

Required

Example: [email protected]

Position Applying For

Experience

If further room is required, please attach all correspondence and resume to the area below.

I am a first time Coach/Trainer/Manager;^*

YESNO

Required

I have experience as a Coach/Trainer/Manager;^*

YESNO

Required

Last Season of Experience

Please indicate Year, Division & Position held.

Next Season of Experience

Please indicate Year, Division & Position held.

Next Season of Experience

Please indicate Year, Division & Position held.

Next Season of Experience

Please indicate Year, Division & Position held.

I have prepared a resume and is attached;

Allowed extensions: .pdf, .doc, .docx, .xls, .xlsx.
Maximum # Files: 1. Maximum File Size: 4MB.

Qualifications

Complete all the information required for the position you are applying for.

Coaching Certification #

Date Expires

Level of Certification

Describe the Training Recieved

Trainer Certificatin #

Date Expires

Level of Certification

Level 1
Level 2
Level 3

First Aid Certification

YesNo

Describe Level of Training Received;

I am willing to take extra courses or programs to improve my qualifications;

YesNo

I am aware I must obtain my WMHA Police Check before the new season starts;

YesNo

Other Required Information

These questions must be answered in order to submit your application.

Are you familiar with the WMHA Constitution, Bylaws and Policies?^*

YesNo

Required

Are you familiar with the WMHA Abuse & Harassment and Fair Play Policies?^*

YesNo

Required

I have completed this application in it's entirerty with information to the best of knowledge and ability.^*

I Agree

Required

I agree to all the terms and conditions stated above.^*

I Agree

Required

WMHA REP and MD Coaching Application (Woodstock Minor Hockey)

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Personal Information

Position Applying For

Experience

Qualifications

Other Required Information

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