Jr Raiders House League Head Coach Application (Raiders Hockey Club)

Print Jr Raiders House League Head Coach Application

APPLICANT INFORMATION

YOUR Name^*

YOUR Date of Birth^*

Open the calendar popup.

(Month, Day, Year)

Street Address^*
City^*
Postal Code^*
Email address^*

Example [email protected]
Phone Number^*

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

Hockey Canada Certification^*
Coach 1 - Intro to Coach
Coach 2 - Coach Level
Development 1 Trained
HTCP Trainer Level 1 (completed in 2019, 2020 or 2021)
Respect in Sport for Activity Leaders Certificate
Gender Identity + Expression Certificate
None
CHECK ALL THE CERTIFICATIONS YOU CURRENTLY HOLD.

COACHING EXPERIENCE

Have you volunteered with the Jr Raiders previously?^*
YesNo
In what capacity?
Head CoachAssistant CoachTrainerManagerParent Rep
CHECK ALL THAT APPLY
Other Organizations?

LIST ORGANIZATIONS AND CAPACITY

Police Clearance^*
Yes (2019 or newer)
No, I will apply immediately upon my acceptance to a team

TEAM SELECTION

Please select a second choice for a division you would be willing to Coach.

I have a child in the division I am applying for:^*
YesNo
First Choice^*

Divisions are composed of separate age groups.
Second Choice

Please indicate if there is another division you would like to Coach.
Name of your child(ren) in division(s) you are applying for^*

Human Validation

Check The Box ^*