Coaches Application (London Raiders)
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Coaches Application
Position Information
Level
*
REP
Position
*
Head Coach
Assistant Coach
Trainer
Team Manager
Age Division
*
Select One...
U9 (formerly, Major Novice)
U11 (formerly, Major Atom)
U13 (formerly, Major PeeWee)
U15 (formerly Major Bantam)
U17 + (formerly Major Midget)
Coach Applicant Information
Full Name
*
Address
*
City
*
Postal Code
*
Date of Birth
*
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Email Address
*
Example:
[email protected]
Phone Number
*
Example: ###-###-####
Completed Certifications
*
Respect In Sport Activity Leader or Speak Out
Coach 1 - Intro to Coach
Coach 2 - Coach Level
NCCP Development 1
HTCP Level 1 Trainer
HTCP Level 2 Trainer
High Performance 1
Check All That Apply
Do you have a child in the selected age division?
*
Yes
No
If yes, the name(s) of your child(ren) in this division
*
What is the highest level of hockey you played?
*
Present Team (Name, Division, Level)
*
(i.e. "London Aces Major Atom")
Previous Team (2022-23):
*
(i.e. "London Aces Major Atom")
Previous Team (2021-22):
*
(i.e. "London Aces Major Atom")
Previous Team (2020-21):
*
(i.e. "London Aces Major Atom")
Name(s) of Proposed Staff
*
ACKNOWLEDGEMENT & CONSENT
By completing and submitting this Application Form, I hereby acknowledge and agree as follows:
Bench Staff Requirements
At least one (1) member of my bench staff MUST be a certified Trainer.
All proposed bench staff must also complete and submit their own application referencing my application.
Further Certifications
I, and/or members of my bench staff, may
be required to attend coaching clinics and obtain further certifications depending on the nature of my and/or their position.
Police Record (Vulnerable Sector) Checks
For the safety of all participants, I must obtain a Vulnerable Sector Check from the
London Police Services
(which can be ordered online from the LPS website) and submit the completed Vulnerable Sector Check to The London Raiders. If I am a returning volunteer, I must sign and submit an annual declaration to London Raiders and obtain a new Vulnerable Sector Check every three (3) years. I will ensure that a valid Vulnerable Sector Check is on file with London Raiders Hockey prior to the start of the season.
Certifications & Authorizations
I understand that completing and submitting this Application does not ultimately guarantee me a coaching position with the London Raiders
I hereby certify that all information I have submitted is true and correct.
Click link below to read the London Raiders Code of Conduct:
I have read, understood and agree to abide by the application terms as outlined above, including the London Raiders Code of Conduct
*
Human Validation
Check The Box
*
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