2018-2019 Coach Application Form (Strathroy Minor Hockey)

Print 2018-2019 Coach Application Form
Please complete the form accurately and in its entirety.
General Information
  1. Full name please
  2. Example : ###-###-####
  3. Example : ###-###-####






  4. Check All That Apply
  5. Check All That Apply
Coaching Experience
Please complete all applicable questions.






  1. Check All That Apply
  2. Note highest level coached or played.
  3. If "yes" please provide details.
Self Evaluation
Please select the option that best describes your level of ability in each of these areas.
References
You are required to provide 3 references. At least one being an assistant coach or association reference and one from a parent.
  1. Include Name, phone number and capacity they know you.
  2. Include Name, phone number and capacity they know you.
  3. Include Name, phone number and capacity they know you.
  1. Police Checks
    “Vulnerable Sector Screening Checks” (Police Checks) are required in accordance with OMHA guidelines. Forms can be obtained from the Coaching Convenor or at www.sdmha.org. The form processing fee of $15 is payable in exact cash to Strathroy-Caradoc Police Department at 299 Frances Street, Strathroy. You must present a valid Driver’s License or Passport photo ID when submitting your form for screening. All applicant signatures must be witnessed by the Strathroy-Caradoc Police Department. Any forms signed and not witnessed by Strathroy-Caradoc Police will not be valid.
Human Validation
Printed from sdmha.org on Monday, May 21, 2018 at 10:24 PM