2017-18 Coach Application Form (Delhi Rockets - Home on the Web)

Print 2017-18 Coach Application Form
Please read, and complete the Form and hit the Submit Button at the end of the Form. A copy of the completed Form will be sent to you and the President of DMHA Mitch VanWynsberghe.
Coach Applicant Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Format MM/DD/YYYY
  2. Example: ###-###-####
  3. Example: ###-###-####
  4. Example: [email protected] Your submission will be sent to this address.
Coaching Qualifications
  1. can be found on your Ehockey account






  2. check all that apply







  3. Check All That Apply






  4. check all that apply
  5. check all that apply - (Respect in Sport Activity Leader is required to be a Coach)
Coaching Experience
  1. years, divisions, levels, other sports
  2. please select 1
  3. please select 1
  4. Are you currently under probation or suspension from coaching duties within any school or community sport program?
  5. Have you ever been convicted of a criminal offence?
  6. Do you have any criminal charges pending?
  7. If yes to any of the above 3 questions, please provide details.
  8. in order to be a successful candidate an up to date Police Check Form must be completed for DMHA
References
Please provide the names and contact information for two references. Note that these individuals may be contacted for reference information on your coaching application.
  1. Example: ###-###-####
  2. Example: ###-###-####
Coaching Application Consent
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    format MM/DD/YYYY
  1. All Bench Staff will need to have a valid Police Check, and proper Certification to be on your Team Staff. 

    A Police Vulnerable Sector Check Ontario Form, can be picked up from DMH President and will need to be completed and given to OPP Headquarters Norfolk Simcoe Ontario.  There is a min 2 week waiting period.

    Any Volunteers will have to submit Bench Staff and On Ice Helper Form as well that can be found under the Coaches Corner Drop Down Menu on main page - www.delhirockets.com
Human Validation
Printed from delhirockets.com on Saturday, May 27, 2017 at 10:47 PM