100 MILE HOUSE MINOR HOCKEY ASOCIATION / 2013 - 2014 COACHING APPLICATION-HOUSE LEVEL / PO Box 487
100 Mile House
BC
V0K 2E0
PART 1- COACHING APPLICATION FORM
RETURN TO: ATTN: 100 MILE HOUSE MINOR HOCKEY COACHING COORDINATOR (Matt Bowen)
APPLICATIONS CAN BE DROPPED OFF AT THE MINOR HOCKEY OFFICE AT THE ARENA.
APPLICATIONS CAN ALSO BE MAILED TO THE ADDRESS ABOVE.
FOR FURTHER QUESTIONS PLEASE CONTACT MATT BOWEN, Coach Coordinator AT 250 395-0931 OR VIA EMAIL at
Complete application to be submitted by June 28, 2013
1. Coach Application Form (Part 1) 2- (Part 2). Criminal Record Check
3- (Part 3. Coach Philosophy)
PERSONAL INFORMATION
LAST NAME / FIRST NAME / DATE OF BIRTH (YEAR/MONTH/DAY)
STREET / CITY / POSTAL CODE
HOME PHONE / OTHER PHONE / E-MAIL
PREFERRED COACHING ASSIGNMENT (FIRST CHOICE, SECOND CHOICE ETC.)
DIVISION / AGE / HEAD COACH / ASST COACH
INITIATION / 5-6
NOVICE / 7-8
ATOM HOUSE / 9-10
PEE WEE HOUSE / 11-12
BANTAM HOUSE / 13-14
MIDGET HOUSE / 15-17
CERTIFICATION/TRAINING REQUIREMENTS
COACH STREAM/Co-HYBRID / ALL FIRST-YEAR COACHES / (MANDATORY BY DEC 1st OF CURRENT SEASON)
DEVELOPMENTAL 1 / ALL REP COACHES / (MANDATORY FOR ALL SECOND YEAR REP COACHES BY DEC 1st)
RESPECT IN SPORT ( SPEAK OUT) / RESPECT IN SPORT- ONLINE COURSE(FORMERLY SPEAKOUT) / (MANDATORY)
HCSP SAFETY COURSE / HOCKEY CANADA SAFETY COURSE / (MANDATORY - ONE PERSON PER TEAM BY DEC 1st)
EXISTING QUALIFICATIONS
COURSE / YEAR / LOCATION - / YOU MUST BE ABLE TO HAVE YOUR QUALIFICATIONS CONFIRMED
COACH STREAM/CO-HYBRID
DEVELOPMENTAL 1
ADVANCED LEVEL 1 or 2
( RESPECT IN SPORT) SPEAK OUT!
HCSP SAFETY COURSE
PARENT PLAYER/ COACH HISTORY
DO YOU HAVE A PLAYER(S) REGISTERED WITH 100 MILE MINOR HOCKEY- YES NO
IF SO, WHAT LEVEL DID HE/SHE PLAY LAST YEAR?
HAVE YOU SPOKEN TO ANY OTHER COACHES IN OUR ASSOCIATION ABOUT HELPING YOU THIS UPCOMING SEASON?
PLEASE PROVIDE NAMES OF ASSOCIATE COACHES IF APPLICABLE
COACHING EXPERIENCE/HISTORY - HOCKEY - MOST RECENT
YEAR / ASSOCIATION / LOCATION (CITY, PROV) / AGES / LEVEL (AAA, B, HOUSE ETC.) / POSITION (HEAD, ASST, ETC.)
PART 2- CRIMINAL RECORD CHECK FORM
***COACH MUST COMPLETE A RCMP CRIMINAL RECORD CHECK – THIS FORM CAN BE PICKED UP AND FILLED OUT AT THE 100 MILE RCMP DETACHMENT(ID REQUIRED)- THE COACH IS ALSO EXPECTED TO PICK UP THE CRIMINAL RECORD CHECK( READY USUALLY ONE WEEK LATER) AND ATTACH THE FILLED OUT FORM TO THE COACHING APPLICATION****If you have had a CRC/VSC done in 2011 or later, OMHMHA will Grandfather you in. The CRC/VSC will be valid for 3 seasons with OMHMHA.
PART 3. COACH PHILOSOPHY
‘ Simple Coach Philosophy’ . ( Max 2 paragraphs)
A. Key reasons for coaching
B. Primary values that you want to instill into your kids
C. What life skills do you expect your players to learn