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Rayside Balfour Minor Hockey Association
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RBMHA Coaching Application 2023 / 2024
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Seasons
2023 / 2024
2022 / 2023
2023 / 2024
RBMHA Coaching Application 2023 / 2024
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You should not enter any sensitive information on this page such as health data, passwords or social security numbers. If you are being asked or need to provide this information for your registration please contact Rayside Balfour Minor Hockey Association directly.
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RBMHA Coaching Application 2023 / 2024
Please complete the entire form.
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Name:
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Applicant Email Address:
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Applicant Date of Birth:
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Level Interested in Coaching:
U9
U11
U13
U15
U16
U18
U5, U6, U7
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POSITION
HEAD COACH
ASSISTANT COACH
TRAINER
MANAGER
ON ICE HELPER
OTHER
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Please list all of your Coaching Experience:
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Please tell us a little about your Coaching Philosophy:
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Please list all Coaching Certifications including Certification numbers:
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Have you ever been discharged, quit, brought before a disciplinary hearing, been suspended or removed from an arena as a coach, trainer or manager. If yes please explain under comments below. If not, just type N/A.
Yes
No
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Comments
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Would you be willing to coach in another divisIon if your choice is not availalble?
Yes
No
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Upon acceptance of a team position, are you willing to atend all required clinics or online courses as required by the
NOHA
?
Yes
No
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By clicking this box I agree that all of the information submitted is true and accurate to the best of my knowledge.
References
Please provide information for two personal references.
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Reference #1
Name:
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Reference #1 Phone Number:
Reference #1 Email Address:
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Reference #2
Name:
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Reference #2 Phone Number:
Reference #2 Email Address:
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