Coach Application Form 2022-23 (Delhi Rockets

2022-23 Registration is OPEN - Deadline AUG 15th

Print Coach Application Form 2022-23

Delhi & District Minor Hockey (DDMHA) is now accepting Coach Applications for all IP &LL Teams for the 2022-23 Season. Coach Interview for all other divisions and levels will be in September 2022. Thank-you for Volunteering for our programming.

Coach Applicant Information

Although not all applicants will be chosen to Coach our programming for the Current Season, we would like to Thank-you for Volunteering for our Programming.

Name^*

Date of Birth^*

Open the calendar popup.

Format MM/DD/YYYY

Address^*
Home Phone^*

Example: ###-###-####
Cell Phone^*

Example: ###-###-####
Email Address^*

Example: [email protected] Your submission will be sent to this address.
Medical Conditions^*

Coaching Qualifications

Please ensure you review the Team Official Qualifications for Current Season that are required, and you are up to date, or will complete required clinics, courses.

Hockey Canada or NCCP #

can be found in your coach locker - www.coach.ca
NCCP Coach Qualifications^*
None
C1 Intro to Coach
C2 Coach Trained
C2 Coach Certified
D1 Development Trained
D2 Development Certified
check all that apply
Coach Instructional Stream Clinics^*
None
Goaltending
Small Area Games
Skating
Checking
Professional Development
Shooting
Specialty Symposiums
Check All That Apply
Trainer Qualifications^*
None
Level 1 Trainer
Level 2 Trainer - Certified
Level 3 Trainer - Certified
Head Trainer
First Aid Training
CPR & AED Training
check all that apply
Do you have any of the following Courses^*
Speak Out
RIS - Parent
RIS - Activity Leader
Gender Identity & Expression Course
Making Ethical Decisions
Rowans Law (Age Appropriate)
check all that apply - (Respect in Sport Activity Leader & Gender Identity and Expression Course is required to be on Team Staff)

Coaching Experience

Previous Coaching Experience^*

years, divisions, levels, other sports
Coaching Philosophy^*
Which Division would you like to Coach 1st Choice^*

please select 1
Level you would like to Coach^*
Initiation Program (IP)Local League (LL)Representative (REP)Development Program
please select those that apply
Which Division would you like to Coach 2nd Choice

please select 1
Level you would like to Coach 2nd Choice
Initiation Program (IP)Local League (LL)Representative (REP)Development Programming
please select those that apply
Personal Hockey Experience - if any?^*
Probation or Suspension^*
YESNO
Are you currently under probation or suspension from coaching duties within any school or community sport program?
Criminal Offence Convictions^*
YESNO
Have you ever been convicted of a criminal offence?
Criminal Charges Pending^*
YESNO
Do you have any criminal charges pending?
Details

If yes to any of the above 3 questions, please provide details -or- NA for not applicable
Do you have a valid Vulnerable Sector Check?^*
YESNO
in order to be a successful candidate an up to date Vunerable Sector 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.

Coaching Reference Name^*
Phone Number^*

Example: ###-###-####
Personal Reference Name^*
Phone Number^*

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

Coaching Application Consent

You acknowledge that all information provided is truthful and accurate according to your www.coach.ca Locker & HCR 3.0

Full Name of Applicant^*

Date of Concent^*

Open the calendar popup.

format MM/DD/YYYY

Thank-you for volunteering to support our 2022-23 season program.

All Coaches and Team Bench Staff will need to have a valid Vulnerable Sector Check, and proper Certification to be on your Team Staff, *New online course - Respect in Sport (RIS) Activity Leader, and Gender Identity and Gender Expression Course.

Please request a Vulnerable Sector Check Letter from the President of DDMHA - [email protected] and you will need to go to www.opp.ca - click link OPP Police Check - application complete it, and upload the letter from the President.

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

All Team Coach(s) and Team Bench Staff (assistant coach, trainer, manager) will be subject to final approval for OMHA Team Roster for the 2022-23 by the DDMHA Board of Directors.

I agree to the terms and conditions stated above^*