SUDBURY MINOR HOCKEY ASSOCIATION

Coach or Assistant Coach Selection Application

All Coaches must complete a separate application form

DEADLINE: AAA March 20, 2008

AA – Friday May 16,2008

HL AND INITIATION - TBA

Team Name and Division: _______________________________________________

Name: _______________________________________________________________

D/O/B_____/_____/_____ Address: ______________________________

City: _________________________ Province: ________________________

Postal Code: ___________________ (e-mail) _________________________

Phone: (Res.) _____________ (Bus) ______________ (Fax)________________

TEAM SELECTION

First Choice: __________________ Second Choice: ________________________

(Category i.e., Novice, Atom, Pee Wee, Bantam, Midget, Jr. A)

(Division i.e., Initiation, House League, Minor/Major AA, Minor/Major AAA)

If these choices are not available, would you accept a different position?

Yes ÿ No 

NATIONAL COACHING CERTIFICATION (Please fill out all applicable areas)

NCCP Certification Speak Out

Initiation ð Year Attained: ____ Police Check ð Year Attained____

Body Checking ð Year Attained: ___ Abuse/Harasmt ð Year Attained ____

Coach ð Year Attained: ____

Intermediate ð Year Attained: ____ Trainer Certification

Advanced ð Year Attained: ____ Level _____ ð Year Attained ____

Theory III ð Year Attained: ____

Advanced II ð Year Attained: ____

PLEASE PROVIDE CERTIFICATION NUMBERS WITH COMPLETED REQUIREMENTS (EG COACHING CERT. NUMBER)

EXPERIENCE (PAST THREE (3) YEARS ONLY)

TEAM/ASSOCIATION CATEGORY POSITION

________________________ __________________ _______________________

________________________ __________________ _______________________

________________________ __________________ _______________________

What is your coaching philosophy (attach sheet if necessary)

COACHING RESUME_________________________________________________

Please attach your personal resume, reflecting your coaching experiences and any other information which is not detailed in this application (i.e. employment, playing experience, other interests, etc.). Plus include detailed information on all members of your intended coaching staff. Any additional information provided pertaining to the following would also be appreciated.

What is the anticipated role of your co-coaches, assistants, managers and trainers?

What would be some of your anticipated tournaments, etc.?

What are your team initiatives, objectives and goals?

What are some of your personal future goals in the sport community?

Why are you volunteering for this position?

REFERENCES

(List three references)

Name ______________________________________

Address _____________________________________

City/Town _____________________________ Postal Code ______________

Phone (Res) ________________ (Bus) ________________ (Fax) _______________

Name ______________________________________

Address ______________________________________

City/Town ______________________________ Postal Code ________________

Phone (Res) ________________ (Bus) _________________ (Fax) ________________

Name ______________________________________

Address ______________________________________

City/Town ______________________________ Postal Code ________________

Phone (Res) ________________ (Bus) _________________ (Fax) ________________

This application must be signed and completed in all areas. Failure to do so could result in the application not being considered.

· SMHA sponsors functions, meetings, training sessions, etc… that require the presence of team staff, such as “annual meeting, coaches and managers meeting, coaches clinics, local tournaments (Sudbury 80’s, Big Nickel, Silver Stick), etc…” All successful applicants are required to attend and participate in these.

· All applicants will be reviewed and references will be contacted. All applicants will also be subject to character checks, as recommended by the C.A.H.A.

· All applicants will be interviewed prior to selection.

· All teams are responsible for having a certified trainer with current N.O.H.A. certification and proper accreditation of all staff.

· Managers and Coaches are responsible for team personnel, players and parents’ behavior

· Managers and Coaches are responsible to ensure that the SMHA constitution is understood and abided by themselves, their personnel and team.

· Please complete the release of information sheet (Consent for criminal record search) Police Check. Form can be picked up and filled out at police station. Submit completed check to our office, with receipt.

Signature

AUTHORIZATION FOR COLLECTION OF INFORMATION

I ____________________________________________authorize the SMHA to collect personal information appropriate to the position applied for concerning my academic background, employment history, and verify the character references I have supplied.

I understand that the information obtained will be confidential but may be shared with relevant organizations in order to obtain an appropriate volunteer position.

_________________________________Name_______________________________

Day/Month/Year Signature____________________________

Purposed Team Staff

Head Coach- _______________________

Assist Coaches- _____________________

Manager- __________________________

Assist Manager - ____________________

Trainer - __________________________