2022-23 Hamilton Huskies Head Coach Application (Hamilton Huskies)

Personal Info & Team

Please select the AGE GROUP and CATEGORY of the team you are applying for and enter the required personal information

First Name^*

Required

Last Name^*

Required

Category^*

AAA
AA / A Seeded
MD
Any

Required

Alternate Team^*

YESNO

Required

Please indicate YES or NO to indicate whether you would consider another team or not consider another team - IF YES please type the AGE GROUP and CATEGORY in the box below

Alternate Team

Please type in the AGE GROUP and CATEGORY of the alternate team you would consider.

Confirmation Email:^*

Required

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

Date of Birth^*

Required

mm/dd/yyyy Type the date in using this format or select from the calendar

City^*

Required

Phone^*

Required

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

Child or other relative trying out?^*

Yes
No
Possibly

Required

Certification

Hockey Canada Hockey ID

Please enter your HCR ID# if you know it

N.C.C.P. Certification^*

Required

Please Select Your Current NCCP Certification

PRS - Prevention Services^*

Required

PLEASE NOTE* Parent Program RIS does not meet Coach certification requirements

Gender Identity & Expression Training^*

YesNo

Required

Please select Yes or No to indicate if you have completed the online Gender Identity and Expression trainin

Current Police Check (PVSC)^*

YesNo

Required

Please enter any other courses or professional development you would like us to be aware of

Previous Teams

Please list team and staff positions held for the previous 2 seasons.

2021-22 Team

Enter Association Name ----- Team Age ----- Level of Team

2021-22 Position

Please enter what your Staff Position was with your 2021-22 team

2020-21 Team

Enter Association Name ----- Team Age ----- Level of Team

2020-21 Position

Please enter what your Staff Position was with your 2020-21 team

Reference 1

Please enter Reference Name, Relationship to Reference and Contact Information for Reference.

Reference 1 Name^*

Required

Ref 1 Relationship^*

Required

Ref 1 Contact Info^*

Required

Reference 2

Please enter Reference Name, Relationship to Reference and Contact Information for Reference

Reference 2 Name^*

Required

Ref 2 Relationship^*

Required

Ref 2 Contact Info^*

Required

2022-23 Hamilton Huskies Head Coach Application (Hamilton Huskies)

ALLIANCE HOCKEY Digital Network

Personal Info & Team

Certification

Previous Teams

Reference 1

Reference 2

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