High Country Minor Association Coaching Application Form 2024/2025 Season

Name *

Email *

Phone number *

Address: *

Do you have a child/children playing in HCMHA *

What Division is your Child a Player? *

What Division is your Child a Player?

COACHING BACKGROUND AND CERTIFICATIONS

All volunteers must have a current Respect in Sport - Activity Leader certification and a have completed Criminal Record/Vulnerable Sector Check every 3 years.

Coaching Clinics and Courses Completed ( Please Check All That Apply) *

NCCP Coach 1 - Intro to Coach (Hockey Alberta)

NCCP Coach 2 - Coach Level (Hockey Alberta)

Coach - Instructional Stream Checking Skills

Hockey Safety (Online - valid for 3 seasons upon completion)

Respect in Sport Activity Leader/Coach Certificate (2021 or later)

Respect in Sports Online Parenting Program (current)

NCCP Development 1

NCCP High Performance 1

First Aid Training

Any Other Relevant Courses Completed

Past Hockey Coaching Experience - Year/Association/Division/League/Capacity and Position *

Briefly describe your playing experience. *

As a coach, have you ever received a penalty or suspension that required an appearance before a review panel? If yes, explain. *

Yes

No No

Have you ever been relieved of your duty as a coach by an association? *

Yes

No No

Are you able and willing to commit the time required for the team and scheduled team events? *

Yes

No No

Do you consent to a Criminal record check? *

Yes

No No

Are you familiar with and in agreement with Hockey Canada Fair Play codes regarding the treatment of players, officials, parents and spectators? *

Yes

No

Are you interested in the following? Please indicate in notes if choosing Head Coach for one team and Assist for another *

Head Coach

Assistant Coach

Either (if NO Head Coach available) Either (if NO Head Coach available)

Attach any supporting documents that HCMHA may not have on file already - Respect in Sport, Coaching Certificates, etc

Signature *

clear

Date *