Local League / Select Coaching Application 2015/2016 (Erin-Hillsburgh Minor Hockey Association)

Local League / Select Coaching Application 2015/2016

Name:^*

Required

Contact E-Mail:^*

Required

Example: [email protected]. Your submission will be sent to this address.

Contact Phone #:^*

Required

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

Notes re: age group preference:

Are you interested in another role if not selected as head coach?^*

Head coach only
Also interested in other bench staff role

Required

Are you interested in coaching a select team?^*

Required

Which age group are you interested in for select?

Do you have a current coach certification?^*

Required

Include level and expiry date

Will you be attending the Sept 12th coaching clinic?^*

Required

Previous Coaching experience:^*

Required

Feel free to include experience with Erin-Hillsburgh or other hockey associations, or with other sports teams.

Please use this opportunity to include any information not previously covered that you feel is relevant to your application as coach

I agree, that if selected, I am prepared to abide by the rules and regulations set forth by the OMHA and EHMHA.^*