APPLICATION FORM FOR HOUSE/LOCAL LEAGUE & DIVISION COACHES, TRAINERS AND STAFF (Port Colborne Minor Hockey)

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  1. APPLICATION FORM FOR HOUSE/LOCAL LEAGUE & DIVISION
    COACHES, TRAINERS AND STAFF

     

    Please read the following information below to have an understanding of what is expected from all PCMHA volunteers.

    As a PCMHA Volunteer, I will...

    1.  Familiarize myself with, and abide by, the policies of the Port Colborne Minor Hockey Association (PCMHA).
    2.  Upgrade my credentials as needed for the volunteer position within PCMHA.
    3.  Attend all Coaches meetings scheduled by the PCMHA.
    4.  Comply with the Constitutions, Code of Ethics, and Fair Play Codes of the Port Colborne Minor Hockey Association (PCMHA), the
    Ontario Minor Hockey Association (OMHA), & the Niagara District Local League (NDLL) documents.
    5.  Familiarize myself with the omha.net website for coaching and trainers resources. 
    6.  I understand that any proposed Bench Staff must be listed on this application and submit their own application as well.
    7. I am aware that this application will trigger an interview with myself and members of the coach selection committee prior to being assigned a team.
    8. I understand that all volunteers will be subject to a Vulnerable Police Sector Check.  If you have a Vulnerable Police Sector Check that is less than three(3) years old, it must be on file with PCMHA.  If your Vulnerable Police Sector Check is more than three(3) years old, you will be required to obtain a new one. 

    In order to proceed you must check the "I agree to the information stated above" button, 

    If you require a copy of any of the above mentioned documentation, policies, they can all be found on the PCMHA website

  2. SPECIAL REQUIREMENT TO ALL PCMHA HOUSE LEAGUE AND LOCAL LEAGUE VOLUNTEERS

    All volunteers applying for any position with PCMHA are required to have a Vulnerable Sector Background Clearance Certificate (Police Background Check)

     

    In order for  this information sheet to be submitted, you must reply to all the questions within this Information Sheet.   

    If you have any questions or problems, please feel free to contact Randy Huggins [email protected] or Matt Lallouet [email protected]


PERSONAL INFORMATION
Please provide all pertinent information for Head Coach, Assistant Coach, Trainers, Manager and On Ice Helpers
  1. First and Last Name
  2. RadDatePicker
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  3. Example: ###-###-####
  4. Example: ###-###-####
  5. Example: [email protected] Your submission will be sent to this address.
VULNERABLE SECTOR BACKGROUND POLICE RECORD CHECK
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
    Maximum # Files: 1. Maximum File Size: 4MB.
CRIMINAL OFFENSE DECLARATION
If you have submitted a Vulnerable Sector Background Police Record Check to PCMHA within the last 3 years, please answer Yes or No on this Declaration Page, If nothing has changed, we will verify your information with our records.
COACHING CREDENTIALS: Please tell us what level of training you have completed.
COACHING QUALIFICATION LEGEND: 1. Coaches of House League/Local League/ Minor Development / Rostered Select in divisions below Novice (Initiation & Tyke) must hold Coach 1-Intro to Coach qualification - No other qualifications are accepted 2. Coach 2-Coach Level ‘Trained’ or higher: Coach 2-Coach Level ‘Trained’ or ‘Certified’; Development 1 ‘Trained’ or ‘Certified’; High Performance 1 & 2 ‘Trained’ or ‘Certified’ 3. Development 1 ‘Trained’ or higher: Development 1 ‘Trained’ or ‘Certified’ or; High Performance 1 & 2 ‘Trained’ or ‘Certified’ 4. Development 1 ‘Certified’ or higher: Development 1 ‘Certified’ or; High Performance 1 & 2 ‘Trained’ or ‘Certified’ 5. High Performance 1 ‘Certified’ or higher: High Performance 1 & 2 ‘Certified’
  1. Choose Level
  2. Choose Level
  3. Completed or In Progress
  4. Completed or In Progress
  5. Completed or In Progress
TEAM REQUESTED












  1. Only complete if you filled out any of the proposed team staff above
  2. Check All That Apply
COACHING EXPERIENCE
Please provide detailed information of your personal coaching experience
  1. Please include Centre / Age&Level / Year / Sport / Position of any prior experience and the names and contact info of two references
Human Validation