Coaching/Volunteer Application (Lakefield Minor Hockey)

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Print Coaching/Volunteer Application

Please complete this form if you wish to volunteer with LDMHA. A police record check will be required if you are selected for any position.

I agree that I have read the responsibilities of each position as noted above.

I agree to follow the Constitution and By-laws of the LDMHA and understand my responsibilities if chosen for a bench staff position.^*

Contact Information

Please complete in full

Full Name^*
Email Address^*

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

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

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

Date of Birth^*

Open the calendar popup.

Team Preference

Please complete in full

Volunteer Position(s) desired:^*
Head Coach
Assistant Coach
Trainer
Manager
On-Ice Volunteer
Time Keeper
Ball Hockey Coach
Ball Hockey Volunteer
Check All That Apply
First Choice^*
Second Choice
Third Choice
Please provide details of your experience, why you would like to volunteer with LDMHA and your coaching philosophy if applicable.^*
List any volunteering and or managing experience you have:

Certifications

Please let us know which certifications you currently have.

Completed Certifications:
Coach 2
NCCP Coach Stream
NCCP Development 1
NCCP Development 2
None
Respect in Sport Activity Leader or Speak Out (Mandatory prior to tryouts)
Trainer
Check All That Apply
Certification is good until:
Good for another 2 yearsGood for Another YearThis SeasonUnknown
Are you currently serving a suspension?
NoYes

PLEASE ACKNOWLEDGE THE FOLLOWING:

All coaches must be prepared to share their coaching plan for the season at the coaching interview.

All Rep coaches must acknowledge that they are required to purchase an additional day of ice per week through the season. This can be done by raising funds as a team or the team can pay directly to the Association.

I acknowledge that I have read the above requirements. ^*

Human Validation

Check The Box ^*