Information Sheet for House & Local League Team Coaching & Volunteers (Port Colborne Minor Hockey)

Print Information Sheet for House & Local League Team Coaching & Volunteers

Please fill in all areas needed and submit your Information Sheet.

INFORMATION SHEET FOR HOUSE LEAGUE & LOCAL LEAGUE
COACHES, TRAINERS AND VOLUNTEER POSITIONS

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. Read the Code of Conduct and Coaching Job Descriptions that are posted on the websites www.portminorhockey.com & www.omha.net
6. I understand that any proposed Bench Staff will also be required to complete an online Information Sheet..
7. 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, you will be required to sign a Declaration of Offense document. 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

I agree to all the information stated above*^*
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)

All Coaches, Trainers and other Volunteers are required to submit this Information Sheet A.S.A.P. by pushing the "Submit Form" buttom at the bottom of the page.

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]

PERSONAL INFORMATION

Please provide all pertinent information for Head Coach, Assistant Coach, Trainers, Manager and On Ice Helpers

Name^*

First and Last Name

Date of Birth^*

Open the calendar popup.

Address^*
City^*
Home Phone^*

Example: ###-###-####
Cell Phone

Example: ###-###-####
Email 1^*

Example: [email protected] Your submission will be sent to this address.
Email 2

Example: [email protected]
Will the demands of your job interfere with your availabilty to be a reliable staff member?^*
YesNo
If Yes above, provide details

VULNERABLE SECTOR BACKGROUND POLICE RECORD CHECK

Please provide a copy of your Vulnerable Sector Background Police Record Check here if you already have this document

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.

Do you have any convictions for offenses under the Criminal Code of Canada as outlined in the OMHA Police Record Check Policy, up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada)^*
NOYES
If you answered "Yes" to the above question, please provide details

VULNERABLE SECTOR BACKGROUND (POLICE CHECK) – (VSBC)

As a requirement by PCMHA, the OMHA, and Hockey Canada, all volunteers are required to have a valid VSBC on file with PCMHA. All VSBC’s issued have an issue date on them; if your issue date is older than three (3) years from the date of issue, you will need to renew your VSBC in order to up to date.

When you know that you have been selected as a coach or other volunteer, please submit your Police Check ASAP.

If you already have a current CSBC that is not more than 3 years old from the issue date, you can include it as an attachment within this application.

If you DO NOT have a valid CSBC, you must obtain a new updated one ASAP.

In order to obtain or update a VSBC, you MUST first print off a Vulnerable Sector Police Record Check Confirmation Form which is found under the Resources tab on the top tool bar on the website. Then your best option would be to bring that page to the Port Colborne Police Detachment on the corner of Fielden Ave. and Killaly St. W. and see Kim Gravelle and maybe request 4 or 5 embossed copies.

Kim will give you a receipt when you apply and pay for your VSBC. You should then submit that receipt to Randy Huggins (House League Convener) so that PCMHA knows that you have applied. Once you get the actual VSBC through the mail, you once again must submit the embossed original copy to Randy Huggins. He will submit your VSBC to PCMHA and your information will be uploaded to Hockey Canada.

I agree to submit the original embossed VSBC document to the House League Director as soon as I receive it.^*

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’

OMHA Coaching Level^*

Choose Level
OMHA Trainers Level^*

Choose Level
Respect in Sport (RiS) Activity Leader Program^*

Completed or In Progress
Respect in Sport (RiS) Parent Program^*

Completed or In Progress
Gender Identity and Expression Course^*

Completed or In Progress

Police Check (if on file with PCMHA)

Open the calendar popup.

Please Include Date Submitted (if you can)

Are You Registered For Any Future Clinics? If so please include the place, date, and type of clinic.

TEAM REQUESTED

Team / Division Choice^*
Novice Local LeagueAtom Local LeaguePeewee Local League Bantam Local LeagueMidget Local League
Position Applied For^*
Head CoachAsst CoachTrainerManagerOn Ice Helper Only
Do you have a child that will be playing in this division?^*
YESNOUnsure
Do you have any PROPOSED team staff members? If so, be aware that all team staff members MUST also submit an Information Sheet separately; as well, all proposed team staff are also subject to a police check and PCMHA Board approval.
Will any of the team staff listed above potentially have children on this team?
YESNOUnsure
Only complete if you filled out any of the proposed team staff above
If this position is not available, would you accept a different position?
YesNot Interested
Check All That Apply
If you are applying as a member of a coaching staff, please provide the name of the Coach