TRAVEL COACHING APPLICATION (Windsor Minor Hockey Association)

Home Phone

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

Cell Phone^*

Required

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

Primary e-mail address^*

Required

Example: [email protected]. Your submission will be sent to this address as a confirmation

Secondary e-mail address

Example: [email protected]

Team Interest^*

U8 MD
U9 MD
U10 A
U11 A
U11 B
U12 A
U13 A
U13 B
U14 A
U15 A
U15 B
U16 A
U18 A
U18 B

Check all that apply. Note first and second choices in the below section if applicable

Team Choice 1

Note your first choice of the above list

Team Choice 2

Note your second choice of the above list

Do you have a relative eligible to play for your desired team?^*

YesNo

Required

What is your Coaching certification?^*

None
Coach One
Coach Two
Developmental 1 (D1)
Developmental 2 (D2)
Advanced or High Performance

Required

Coaching Experience^*

Required

List your coaching experience oldest to newest in all sports.

REFERENCE ONE - Name^*

Required

Contact number

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

E-mail address^*

Required

Example: [email protected]

REFERENCE TWO - Name^*

Required

Contact Number

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

E-mail address^*

Required

Example: [email protected]

Additional Information

Any other relevant information that you would like to offer.

I agree that the above information is correct. I also agree to the WMHA conducting necessary checks to verify and gather information to assist in the selection process.

I agree to the terms and conditions stated above^*

Understand and accept that should you be selected as a coach in the Windsor Minor Hockey Association, the guidelines and rules of both the association and the OMHA are to be followed.

I agree to the terms and conditions stated above^*

TRAVEL COACHING APPLICATION (Windsor Minor Hockey Association)

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