SUDBURY MINOR HOCKEY ASSOCIATION

 

 

 

 

MANAGER Selection Application

All managers must complete a separate application form

 

DEADLINE:  AAA March 20, 2008

                 AA –Fri 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  ˙          No  

 

NATIONAL COACHING CERTIFICATION (Please fill  out all applicable areas)

 

NCCP Certification                                                   Speak Out

Initiation š  Year Attained: ____        Police Check  š   Year Attained____    

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

Coach š      Year Attained: ____

Intermediate    š  Year Attained: ____                         Trainer Certification

Advanced                     š      Year Attained: ____                  Level _____  š Year Attained ____

Theory III                     š      Year Attained: ____

Advanced II          š      Year Attained: ____

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

 

 

 

 

 

 

 

 

 

 

 

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 - __________________________