House Coaching Application (Lakeshore Lightning Girls Hockey)

PROUD

MEMBER

Print House Coaching Application

PERSONAL INFORMATION

HOCKEY EXPERIENCE

Highest Level of Hockey Played^*
Never Played Hockey
House
Travel - AAA, AA, A, BB, B
Junior - A, B, C
Juvenile
College/University
Professional
SELECT ONLY 1
Current Coaching Level^*
Coach 1
Coach 2
D1
D2
HP1
HP2
SELECT ONLY 1
Current Team Coached^*

EG: 2018/2019 - Head Coach - Bantam A - Lakeshore Lightning
Previous Team Coached^*

EG: 2017/2018 - Head Coach - Midget BB - Lakeshore Lightning
Previous Team Coached^*

EG: 2016/2017 - Asst Coach - Pee Wee Minor AAA - Sun County Panthers

LAKESHORE HOUSE TEAM SELECTION

ESSEX HOUSE SELECTION

OPTIONAL POSITIONS

IF YOU ARE NOT CHOSEN AS A HEAD COACH ARE YOU WILLING TO BE PLACED ON A TEAM STAFF?^*
YESNOI AM OPEN TO DISCUSS

PARENT APPLICANTS

COMMITTMENT

All questions must be answered.

I will attend coach mentorship sessions as offered by LLGHA/Essex Thunder.^*
YESNO
I will provide fully completed season plans, practice plans, team budgets and other materials as requested by LLGHA for the coaches’ file.^*
YESNO
I will comply with the LLGHA/Essex Thunder Code of Conduct Policy. ^*
YESNO
I will comply with the OWHA Code of Conduct.^*
YESNO
I will ensure that a current Police Reference Check is provided for me and all staff prior to commencing any hockey team activities on and off the ice. This includes the 2019 tryouts.^*
YESNO
In addition to games and assigned practices, I expect my team to be involved in the following activities:^*

REFERENCES

PLEASE PROVIDE 3 REFERENCES.

Full Name, Relationship, Contact Number^*

EG: John Smith - Employer - 519-555-1212
Full Name, Relationship, Contact Number^*

EG: John Smith - Employer - 519-555-1212
Full Name, Relationship, Contact Number^*

EG: John Smith - Employer - 519-555-1212

ADDITIONAL INFORMATION

Please provide us with any additional information that you feel is of importance related to your application:^*

SELECTION

YOU MUST INDICATE YOUR ACCEPTANCE OF EACH ITEM

SIGNING

DATE AND TIME SUBMITTED^*

CLICK ON EACH ICON TO CHANGE THE VALUES

Applications should be submitted no later than July 31st, 2020

Note:
All Head Coaching positions are considered *Open* annually and all potential coaches, including returning coaches, must complete the application and may be required to attend an interview.

Human Validation