Coaching Application (Goderich Minor Hockey)

Print Coaching Application

Coaching Applications MUST be submitted to GMHI on or before March 31, 2012 in order to be considered for a coaching position in the 2012-2013 season.

Contact Information

Full Name^*
Email Address^*

We will also send a copy of this submission to your address.
Street Address^*
City / Town^*
Home Phone

Example: ###-###-####
Work Phone

Example: ###-###-#### x###
Cell Phone

Example: ###-###-####

Team Preference

First Choice

If you have no preference, don't select a team here.
Second Choice

If you have no preference, don't select a team here.
Would you coach another team?^*
YesNo
If neither of your preferences are available, would you be willing to coach (or help) another team?
Would you coach non-rep?^*
YesNo
If your child makes the rep team, would you be willing to coach another team in that age group?

Coaching Certifications

Please let us know which national coaching certifications you currently have. For each certification, please indicate your certification # as well as the year you attained (or re-certified) that certification.

CHIP Certification

Please provide the certification #, and the year attained (or re-certified)
NCCP - Coach

Please provide the certification #, and the year attained (or re-certified)
NCCP - Intermediate

Please provide the certification #, and the year attained (or re-certified)
NCCP - Advanced

Please provide the certification #, and the year attained (or re-certified)
NCCP - Theory III

Please provide the certification #, and the year attained (or re-certified)
NCCP - Advanced II

Please provide the certification #, and the year attained (or re-certified)
HTCP Certification

Please provide the certification #, and the year attained (or re-certified)
Speak-Out (Abuse & Harassment) Clinic

Please provide the certification #, and the year attained
Are you willing to attend clinic(s)^*
YesNo
If you do not have the certification(s) required to coach your desired team, are you willing to attend a clinic?

Coaching Information

Use this section to tell us a bit more about yourself and why you are a good candidate to be a coach within Goderich Minor Hockey.

Previous Coaching Experience^*

Please tell us about any coaching positions you have held in the past 5 years. List hockey first (if available), followed by other relevant coaching experiences for other sports.
What is your coaching philosophy?^*

Please describe your coaching philosophy, which should include your yearly plan, ice time distribution methods, and so on. (limit 4,000 characters)
What are your team initiatives, objectives, and goals?^*

(limit 1,000 characters)
What would some of your anticipated tournaments be, etc?

(limit 1,000 characters)
Other Anticipated Team Personnel

Please provide the names of anybody else you would like to have on your coaching and/or training staff.

I HEREBY AGREE TO ABIDE BY THE CONSTITUTION AND BY-LAWS OF THE GODERICH MINOR HOCKEY INC. AND THE OMHA/OWHA/WOAA MANUAL OF OPERATIONS.

I ALSO UNDERSTAND THAT BY COMPLETING A COACHING APPLICATION WITH THE GMHI THAT IT DOES NOT ULTIMATELY GUARANTEE ME A COACHING POSITION WITH THIS ORGANIZATION.

I authorize Goderich Minor Hockey Inc. to collect personal information appropriate to the position applied to verify character references.

I also understand that in order for my application to be considered, I must submit to a criminal reference check.

I understand the information obtained will be confidential but may be shared with relevant organizations in order to obtain appropriate volunteer position.

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