B/BB Coaching Application (West London Minor Hockey)

Which BB/MD team would you like to coach?

U8 - MD
U9 - MD1 and MD2 - 2 Teams
U10 - BB
U11 - BB
U12 - BB
U13 - BB
U14 - BB
U15 - BB
U16 - BB
U18 - BB - 2 Teams

Check All That Apply

Which HL Select Team would you like to coach?

U10 House League Select
U11 House League Select
U12 House League Select
U13 House League Select
U14 House League Select
U 15 House League Select
U16 House League Select
U18 House League Select

Check all that apply

Name (First, Last)

Phone Number:

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

Email Address

Example: [email protected]

Outline your certifications.

Trainer, Respect in Sport, DS1, Police Check, etc.

Describe your coaching experience.

Include dates, team, level and position on the bench (Coach, Asst. Coach, Trainer, etc.)

Why do you want to coach and what can you offer to the players?

Do you have other team staff member in mind if you are awarded a team?

YesNo

If Yes, please detail who they would be.

Have you ever been dismissed or suspended by an amateur sports organization?

YesNo

If Yes, please explain.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I agree to the terms and conditions stated above^*

B/BB Coaching Application (West London Minor Hockey)

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