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| APPLEWOOD |
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HOCKEY ASSOCIATION APPLICATION
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| for positon as a: Coach / Manager / Trainer |
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| POSITION APPLIED
FOR: ( ) Coach ( ) Manager ( )
Trainer ( ) Assistant Coach |
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| NAME:
________________________________________________ |
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| ADDRESS: |
Street & Number: |
_______________________________________________ |
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City: |
_______________________________________________ |
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Postal Code: |
________ |
Phone: |
(H)________ |
(B)_________ |
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E-Mail Address |
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| PREVIOUS
EXPERIENCE: |
Please indicate your past involvement in hockey and provide |
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| information on the
Association, level of competion and age groups involved with. Also include
number |
| of years involved with each
Association; |
__________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
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| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| ___________________________________________________________________________________ |
| COACHING
QUALIFICATIONS: |
( ) YES |
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( ) NO |
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| CERTIFICATION
LEVEL;_______________________________ |
CERTIFICATION NO._____________ |
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DATE ISSUED;_________________ |
| TRAINER'S
CERTIFICATION: |
( ) YES |
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( ) NO LEVEL;_________________ |
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| CERTIFICATION NO._____________ |
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EXPIRY DATE:____________________________ |
| PLEASE INDICATE ANY
OTHER PERTINENT INFORMATION ON THE BACK OF THIS FORM |
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| FOR THE UPCOMING
SEASON, PLEASE RESERVE: First Choice;
__________________________ |
| Second Choice;
_____________________ Third Choice;
____________________________________ |
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| I understand that
Coaches, Managers and trainers in the Applewood Hockey Association are
responsible for |
| providing coverage
for RINK DUTY as allocated throughout the season (3 or 4 times per season). I
also |
| understand that
other duties include the promotion and attendance at Association events,
promotion of |
| fund raising
activities, attendance at meetings called by the Association and respect of
all rules and regulations |
| specified in the
Applewood Hockey Association Constitution and By-Laws and the Mississauga
Hockey |
| League Constitution
and By-Laws. |
| I understand that
failure to comply with any of the above may result in disciplinary action. |
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| DATE:
_______________ |
SIGNATURE:
________________________________ |
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BE SURE OF YOUR COMMITMENT !!! |
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