Coaches Application

20010-2011 season 

      1.     Complete and return application  

2.     Interview with coaches selection committee (as req’d)

      3.     Volunteer clearance check – local policing authority

 ALL APPLICATIONS MUST BE RECEIVED BY 8PM, Sunday June 20

Have you ever coached in the Port Dover Minor Hockey system?                  Yes / No

Have you ever coached in any other organized sport?                        Yes / No         

Have you ever been suspended as a coach?                                                    Yes / No

Do you hold a current hockey coaching certification?                                     Yes / No

Do you hold a current hockey trainer’s certification? Yes / No          Expiry:           

What team(s) are you interested in applying for?

Please provide a listing of your previous coaching experience.

Please provide at least two personal references.

Feel free to provide any additional information, either below or on a separate attachment.

Coaches Acknowledgement

If I am selected as a coach for Port Dover Minor Hockey (PDMH), I agree to:

1.     Teach and display fair play and sportsmanship and expect the same from all my players and coaching staff;

2.     Abide by all applicable OHF/OMHA constitution, bylaws, rules and regulations and any additional rules and regulations as set forth by PDMH; and

3.     Provide a list of my team officials (Manager, Ass’t. Coach, Trainer, etc.) to PDMH for approval.
All team officials must have current police check. 

 *** I have read the Police Check Policy for Port Dover Minor Hockey and I understand what I have read _____

________________________________________________________________________

Completed applications should be forwarded to:

Mike Salvatore, Director, Port Dover Minor Hockey Association

66 Denby Road, Port Dover, N0A 1N4

ALL APPLICATIONS MUST BE RECEIVED BY 8PM, Sunday June 20