Jr Raiders 2022-2023 Head Coach Application (Raiders Hockey Club)

Print Jr Raiders 2022-2023 Head Coach Application

Applicant Information

Last Name^*
First Name^*

Date of Birth^*

Open the calendar popup.

Email^*

Example: [email protected] Your submission will be sent to this address.
Phone^*

Example: ###-###-####
Address^*

Complete address including postal code

Team Preference

1st Choice^*
2nd Choice
3rd Choice
Do you have any children currently playing Hockey?^*
NoYes
If yes, which with organization?

Hockey Certification

Please indicate your Certifications
SpeakOut
RIS-Activity Leader
Gender Identity and Expression Course
Coach 1 - Intro to Coach (CHIP)
Coach 2 - Coach Level
Development 1 (D1)
High Performance 1 (HP1)
Other
Check All That Apply
Describe Other

Specialty clinics etc

Previous Experience

Please provide a brief summary of your coaching history:

Please attach a copy of your coaching resume:

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
If you have a copy of a coaching CV, attach it here

Proposed Support Staff (If known)

Trainer
Assistant Coach
Assistant Coach
Assistant Coach/Assistant Trainer
Manager

References

1. Name
Phone

Example: ###-###-####
2. Name
Phone

Example: ###-###-####
3. Name
Phone

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

I agree to the terms and conditions stated above^*
I agree to the terms and conditions stated above^*

Human Validation

Check The Box ^*