PO Box 487 2013 - 2014 COACHING 100 Mile House BC 100 MILE HOUSE MINOR APPLICATION - REP LEVEL V0K 2E0 HOCKEY ASOCIATION PART 1- REP COACHING APPLICATION FORM RETURN TO: ATTN: 100 MILE HOUSE MINOR HOCKEY COACHING COORDINATOR (Matt Bowen) APPLICATIONS CAN BE DROPPED OFF AT THE MINOR HOCKEY OFFICE AT THE ARENA. APPLICATIONS CAN ALSO BE MAILED TO THE ADDRESS ABOVE. FOR FURTHER QUESTIONS PLEASE CONTACT MATT BOWEN, Coach Coordinator AT 250 395-0931 OR VIA EMAIL at [email protected] Complete application to be submitted by May 31, 2013 11. Coach Application Form (Part 1) 2- (Part 2). Criminal Record Check 3- ( Part 3. Coach Philosophy) 2

PERSONAL INFORMATION

LAST NAME FIRST NAME DATE OF BIRTH (YEAR/MONTH/DAY)

STREET CITY POSTAL CODE

MAILING ADDRESS (IF DIFFERENT) CITY POSTAL CODE

HOME PHONE OTHER PHONE E-MAIL

PREFERRED COACHING ASSIGNMENT (FIRST CHOICE, SECOND CHOICE ETC.) DIVISION AGE HEAD COACH ASST COACH ATOM DEVELOPMENT 9-10 PEE WEE REP 11-12 BANTAM REP 13-14 MIDGET REP 15-17 CERTIFICATION/TRAINING REQUIREMENTS

COACH STREAM/CO-HYBRID ALL FIRST-YEAR COACHES (MANDATORY BY DEC 1st OF CURRENT SEASON)

ALL REP DEVELOPMENTAL 1 (MANDATORY FOR ALL REP COACHES BY DEC 1st) COACHES

RESPECT IN SPORT- ONLINE RESPECT IN SPORT ( SPEAK OUT) (MANDATORY) COURSE(FORMERLY SPEAKOUT)

HOCKEY CANADA SAFETY HCSP SAFETY COURSE (MANDATORY - ONE PERSON PER TEAM BY DEC 1st) COURSE

EXISTING QUALIFICATIONS COURSE YEAR LOCATION - YOU MUST BE ABLE TO HAVE YOUR QUALIFICATIONS CONFIRMED COACH STREAM/CO-HYBRID

DEVELOPMENTAL 1

ADVANCED LEVEL 1 or 2

( RESPECT IN SPORT) SPEAK OUT!

HCSP SAFETY COURSE

PARENT PLAYER/ COACH HISTORY

DO YOU HAVE A PLAYER(S) REGISTERED WITH 100 MILE MINOR HOCKEY- YES NO

IF SO, WHAT LEVEL DID HE/SHE PLAY LAST YEAR?

HAVE YOU SPOKEN TO ANY OTHER COACHES IN OUR ASSOCIATION ABOUT HELPING YOU THIS UPCOMING SEASON?

PLEASE PROVIDE NAMES OF ASSOCIATE COACHES IF APPLICABLE

COACHING EXPERIENCE/HISTORY - HOCKEY - MOST RECENT

LEVEL POSITION LOCATION (CITY, (AAA, B, YEAR ASSOCIATION AGES (HEAD, ASST, PROV) HOUSE ETC.) ETC.) PART 2- CRIMINAL RECORD CHECK FORM

***COACH MUST COMPLETE A RCMP CRIMINAL RECORD CHECK – THIS FORM CAN BE PICKED UP AND FILLED OUT AT THE 100 MILE RCMP DETACHMENT(ID REQUIRED)- THE COACH IS ALSO EXPECTED TO PICK UP THE CRIMINAL RECORD CHECK( READY USUALLY ONE WEEK LATER) AND ATTACH THE FILLED OUT FORM TO THE COACHING APPLICATION**** If you have had a CRC/VSC done in 2011 or later for OMHMHA, OMHMHA will Grandfather you in. The CRC/VSC will be valid for 3 seasons with OMHMHA.

PART 3. COACH PHILOSOPHY

‘ Simple Coach Philosophy’ . ( Max 2 paragraphs) A. Key reasons for coaching B. Primary values that you want to instill into your kids C. What life skills do you expect your players to learn