Box 65 Lethbridge, AB T1J 3Y3
PHONE: 403-320-0745 FAX: 403-320-1345
EMAIL: [email protected]
WEB: www.lethbridgeminorhockey.com
COACH APPLICATION – Page 1
The Lethbridge Minor Hockey Association is in the process of accepting applications from persons interested in
coaching positions for the upcoming hockey season. Interested individuals must complete this form, and mail
or fax form to the LMHA office by April 30th for Elite & Tiered League Teams and May 31st for House or Non
Tiered League Teams. Applications can be emailed or faxed into the office. All categories of the application
must be completed.
Name:
E-Mail: _____________________________________
Address:
City:
Telephone (home):
PC: _____________________
Cell: _______________________________
Do you have a son or daughter playing in LMHA? YES
What division?
NO
What division?
What division?
Past Hockey Coaching Experience:
Indicate capacity served,(i.e.) head coach, assistant coach, general manager, etc.
Attach additional sheet if required
YEAR
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
LMHA
ASSOCIATION
DIVISION
LEAGUE
CAPACITY/POSITION
Box 65 Lethbridge, AB T1J 3Y3
PHONE: 403-320-0745 FAX: 403-320-1345
EMAIL: [email protected]
WEB: www.lethbridgeminorhockey.com
COACH APPLICATION – Page 2
List any volunteer and or coaching experience you may have in other sports.
YEAR
ASSOCIATION
SPORT
DIVISION
LEAGUE
CAPACITY/POSITION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Identify your strengths as a coach:
______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Identify any areas of improvement you may need as a coach and state how LMHA can support you:
_____________________________________________________________________________________________
______________________________________________________________________________________________
Coaching Preferences : (Check Your Preference)
Tiered Team
Head Coach
Assistant Coach
House League
Head Coach
Assistant Coach
Indicate the age and / or division you would prefer to head coach or assistant coach:
1st Choice Division:
2nd Choice Division:
Head Coach
Head Coach
LMHA
Assistant Coach
Assistant Coach
Box 65 Lethbridge, AB T1J 3Y3
PHONE: 403-320-0745 FAX: 403-320-1345
EMAIL: [email protected]
WEB: www.lethbridgeminorhockey.com
COACH APPLICATION – Page 3
Personal Coaching Ambitions:
Short Term (1 to 3 years):
Please Explain:
Long term (3 years plus):
______________________________________________________________________
Coaching Clinics and Courses:
(please check all the clinics you have completed)
NCCP Intro to Coach
NCCP Coach Level
Hockey Canada Safety
Speak out
NCCP Development I
Hockey Alberta Checking Skills
Respect in Sport (online Parent program)
NCCP Development II
Hockey Safety Trainer
Respect in Sport (online Coach program)
RIS Parent Certificate # HAP -
RIS Coach Certificate # HA-
List any additional clinics, courses, workshops and seminars not listed above:
YEAR
COURSE / CLINIC / WORKSHOP
CERTIFIED
Y/N
COURSE SPONSOR / HOST / FACILITATOR
1.
2.
3.
4.
5.
6.
Do you have any First Aid Training: YES
NO
Please Explain:
Signature: __________________________
LMHA
Date: _____________________________