Team Staff Application Form (Woolwich Wild - Elmira, St. Jacobs, Breslau Girls Hockey)

Print 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^*

Open the calendar popup.

Team Requested

Team Level^*
House LeagueRep
Team Division^*
Rookie
Novice
Atom
Peewee
Bantam
Midget
Intermediate
Senior
Check All That Apply
Position Applied For^*
Asst Coach
Head Coach
Manager
On-Ice Helper
Statistician
Trainer
Check All That Apply

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.