Coach Application Form 2018-2019 (Petrolia Minor Hockey)

Print Coach Application Form 2018-2019
Please complete all fields.
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Contact Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Example: ###-###-####
  3. Example: ###-###-#### x###
  4. Example: ###-###-####
  5. Example: [email protected] Your submission will be sent to this address.
Coaching Information
  1. One per line
  2. One per line, provide the team & sport, the year, and position(s) held.
  3. One per line
  4. Please be aware that you and all members of your coaching staff must obtain a police clearance form.
  1. I agree that if selected I will,
    (i) Upgrade my coaching certificates where required and as requested by PMHA,
    (ii) Attend all applicable meetings,
    (iii) Abide by the PMHA Constitution and
    (iv) Comply with all rules and regulations of PMHA.
    (Signature required if granted a coaching position)

  2. All applications will be reviewed by the PMHA Executive.
    Interviews will be conducted and ALL applicants will be contacted
    even if they are not successful in being selected for a coaching position.
    Successful applicants will be contacted and then posted on the website.
    Thank you for your interest.
Human Validation
Printed from petroliaminorhockey.com on Wednesday, May 23, 2018 at 7:00 AM