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Volunteer Application Form - Coaches/Trainers/Managers
*
First And Last Name:
*
Volunteer Position Applying For:
Any Coaching Position
Head Coach
Assistant Coach
Trainer
Manager
*
Phone:
*
Email:
Indicate all training received related to being a Staff Member date completed/or certification number (* mandatory) - As Coach/Manager/Trainer
Planning a Safe Return to Hockey - HU
Speak Out (RIS Coach Version)*
Hockey Canada Safety Program (Trainer's Course)
Coach 1 or 2
Intermediate/ D1
Advanced/ HPP1
Goalie Coach Course
Certificate of Conduct/ Vulnerable Sector clearance (effective x 5yrs)*
Coaching/Trainer/Manager Experience: list last three (3) teams you have been involved with
1:
Other:
2:
3:
In order of preference, indicate team(s) you would like to Volunteer with this season
1:
2:
3:
Briefly describe yourself as a Volunteer:
Provide two (2) references and contact information from your peers that may be called
1:
2:
In applying to volunteer with CBRMHA, I agree to be aware of and abide by all codes of conduct and the policies and procedures that govern the operation of hockey recognizing consequences of non-compliance and agree to provide a positive growth experience for all children in the game of hockey.
I Agree
*
*
Date:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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31
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
* indicates required fields