Team Staff Application Form (Woolwich Wild - Elmira, St. Jacobs, Breslau Girls Hockey)
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Team Staff Application Form
This form is required to be completed for all team positions including: Head Coaches, Assistant Coaches, Trainers, Managers, On Ice Helpers
I AGREE that if accepted to a Woolwich Girls Minor Hockey Association (WGMHA) team staff position, to abide by the policies, procedures and guidelines set out by the WGMHA, the Ontario Women’s Hockey Association (OWHA) and the League in which my team belongs. I agree to upgrade my certification and obtain a police check (Vulnerable Sector Records Check) as required. I understand interviews may be requested and selection will be based on experience, philosophy, expectations, feedback from references and feedback with respect to any previous team staff positions. I understand all team staff must be approved by the WGMHA Executive.
I agree to the terms and conditions stated above
*
Personal Information
Please provide all pertanent information for Head Coach, Assistant Coaches, Trainers, Managers, and On Ice Helpers
Name:
*
Address:
*
Email Address:
*
Example:
[email protected]
Hone Phone:
*
Example: ###-###-####
Cell Phone:
Example: ###-###-####
Date of Birth
dd/mm/yyyy
Criminal Offence Declaration
All staff are required to have a valid police check on file. Police checks are valid for a period of three years. The Online Criminal Offence Declaration below must be completed each year (*new as of 2013-14). Please note: You still need a valid Police check on file.
I hereby declare that:
*
I have no convictions or outstanding charges for offences under the Criminal Code of Canada as specified in the OWHA Screening Policy up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada).
I have the following convictions for offences under the Criminal Code of Canada as specified in the OWHA Screening Policy for which a pardon under the Criminal Records Act (Canada) has not been issued or granted:
Select one of the statments by clicking the radio button.
Please Describe Conviction:
Todays Date
*
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Team Staff Credentials
All WGMHA applicants please list all your relevant credentials - even if you have been a staff member with WGMHA in the past so we can confirm your certifications.
Coach No.
Coach Number
Coach Certificate Expiry Date
dd/mm/yyyy
Trainer No.
Trainer Number
Trainer Certificate Expiry Date
dd/mm/yyyy
Speak out/Respect in Sport No.
Include No. and Expiry Date
Coaching Experience
Please List All Relevant Experience
*
Please include Centre / Age&Level / Year / Sport / Position
References
Please provide three character references, excluding relatives
1. References
Name / Address / Phone
2. References
Name / Address / Phone
3. References
Name / Address / Phone
Tell us Something About You
Your Coaching Strengths
Your Coaching Philosophy
Your expectations for the upcoming season
Any other comments
Do you have a staff chosen? If so please list them with proposed position.
Human Validation
Check The Box
*
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