WMHA REP and MD Coaching Application (Woodstock Minor Hockey)
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WMHA REP and MD Coaching Application
All areas marked with * must be completed before submitting your application.
Personal Information
NAME
*
D.O.B.
*
ADDRESS
*
CITY
*
POSTAL CODE
*
HOME PHONE
*
Example XXX-XXX-XXXX
CELL PHONE
*
Example XXX-XXX-XXXX
E-MAIL ADDRESS
*
Example:
[email protected]
Position Applying For
I am interested in applying for the position as;
*
Head Coach
Assistant Coach
Team Trainer
Team Manager
The division I wish to apply for;
*
Representative - REP
Minor Development - MD
HL - Select
The Team I wish to apply for;
*
U8-Minor Novice
U9-Major Novice
U10-Minor Atom
U11-Major Atom
U12-Minor Peewee
U13-Major Peewee
U14-Minor Bantam
U15-Major Bantam
U16-Minor Midget
U17/U18-Major Midget
Indicate which division your child is playing for. If you do not have a child playing hockey, please indicate N/A.
Pease describe your specific interest in this team/division;
Experience
If further room is required, please attach all correspondence and resume to the area below.
I am a first time Coach/Trainer/Manager;
*
YES
NO
I have experience as a Coach/Trainer/Manager;
*
YES
NO
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
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Level of Certification
Describe the Training Recieved
Trainer Certificatin #
Date Expires
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Calendar
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Level of Certification
Level 1
Level 2
Level 3
First Aid Certification
Yes
No
Describe Level of Training Received;
I am willing to take extra courses or programs to improve my qualifications;
Yes
No
I am aware I must obtain my WMHA Police Check before the new season starts;
Yes
No
Other Required Information
These questions must be answered in order to submit your application.
Are you familiar with the WMHA Constitution, Bylaws and Policies?
*
Yes
No
Are you familiar with the WMHA Abuse & Harassment and Fair Play Policies?
*
Yes
No
I have completed this application in it's entirerty with information to the best of knowledge and ability.
*
I Agree
I agree to all the terms and conditions stated above.
*
I Agree
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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