2022-23 Coaches Application (New Hamburg Hockey Association)

Submit this form to be considered for a coaching position with the NHHA for the 2021-22 season. For representative coach applicants, your application must be submitted no later than April 30, 2022. Initiaton and Local League coaching applications are now being accepted as of June 14, 2022.

CRIMINAL OFFENSE DECLARATION

All information submitted will be treated as personal and confidential. Only members of the NHHA Executive and Coach Selection Committee will have access to this information.

Attach valid Police Check here, if not already on file with the NHHA:

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 2. Maximum File Size: 4MB.
Scan your valid Police Records Check and attach the file here.
Select one response only:^*
I have NO 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)
I have ONE OR MORE (details below) 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)
Yes OR No - I have the following convictions for offenses under the Criminal Code of Canada as outlined in the OMHA police Record Checks Policy, for which a pardon under the Criminal Records Act (Canada) has not been issued or granted: ^*

Insert Yes With Details or No In This Space to Continue

COACHING CREDENTIALS AND CODE OF CONDUCT

I agree that I will upgrade my credentials as requested by NHHA or my application will not be considered. If selected I will attend all coaches meetings and comply with all coaching requirements as outlined in the Constitution and By-laws of the NHHA and the Ontario Minor Hockey Association (OMHA).
I agree that I have read and understood the Code of Conduct and Team Official Job Descriptions that are posted on the NHHA website.

My credentials are up to date or I am registered for clinics as required by NHHA^*
COACHING INFORMATION UPDATE

Please note that in a continued effort to improve our organization, the Coaching Development staff will be looking to work with coaches in developing a seasonal plan for the upcoming year at both the representative and local league levels.

Templates and support will be available to all coaches selected to their desired position.
POLICE CHECK - MUST accompany coaches application in order to be considered for any position applied for. If you do not have a current (in past 3 years) police check, do not complete this application until you have obtained one.

I understand that as a Coach or team volunteer, NHHA and OMHA require that I have a Valid Police Records Check (good for 3 years from issued date) on file with NHHA.

Police Record Check - Please see the Waterloo Regional Police Services website for instructions to obtain a police record check. This can then be scanned and attached to this application form.

I have scanned and attached the appropriate Police Records Check to this application form -OR- my valid Police Check is already on file with the NHHA^*

PERSONAL INFORMATION

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

First and Last Name^*

Date of Birth^*

Open the calendar popup.

Address^*
Primary Phone^*

Example: ###-###-####
Secondary Phone

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

Example: [email protected]
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

TEAM REQUESTED

Please note that team/division names will be updated in the 2020-21 season. This form is using the previous names to avoid confusion.

Team/Division - 1st choice^*
Team/Division - 2nd choice^*
Position Applied For^*
Head CoachAsst CoachTrainerManagerOn Ice Helper Only
If you are Head Coach applying with a proposed staff, please list their first name, last name, phone number and their positions applied for

NHHA reserves the right to approve entire or partial staff
If you are applying as a member of a staff, please provide the name of the Coach

NHHA reserves the right to approve entire or partial staff
If this position is not available, would you consider accepting a different position?
YesNot Interested

COACHING CREDENTIALS

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
PRS - Respect in Sport^*

Completed or In Progress
Police Check (if on file with NHHA)^*

Include Date Submitted
Clinic Name and Date Registered For

Must Complete If Credentials Are Not Current

COACHING EXPERIENCE

Please provide detailed information of your personal coaching experience

Please list all Relevant Experience^*

Please include Centre / Age&Level / Year / Sport / Position

CONTINUED COACHING

Identify coaching plans (if any) for the season following the one currently being applied for:^*
List your short and long term coaching development goals:^*

REFERENCES

Please provide three character references, excluding relatives

1. Reference^*

Name / Address / Phone
2. Reference^*

Name / Address / Phone
3. Reference^*

Name / Address / Phone

Human Validation

Check The Box ^*

2022-23 Coaches Application (New Hamburg Hockey Association)

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