FAIRVIEW MINOR HOCKEY ASSOCIATION
PO BOX 2206
Fairview, AB T0H 1L0
www.Fairviewminorhockey.com
Coach Application Form
Season ___________
Name:
Address:
Home Ph:
Work Ph:
Cell Ph:
Email:
AB Health No.:
Date of Birth:
Applying to Coach:
Initiation Novice Atom
Are you applying for the Head Coach position?
Recent Coaching Experience:
Season
Team/Division/Category
PeeWee Bantam Midget
Yes
No
Female:
Preferred Tier: I
Atom PeeWee Bantam Midget
II
Organization
Role
Total Coaching Experience:
Number of years coached___Of these, number of years as a Head Coach____Highest Level Coached_______
Certification:
Coach 1
Coach 2
RIS Coach
Safety
NCCP(Coach) Checking Skills Development
I
Development II
Other Courses and Education that would be considered beneficial for Coaching:
Playing Experience:
Minor Hockey
Senior Teams
Junior/College
Pro
Highest Level Played __________
Number of years played __________
Number of years played __________
Number of years played __________
Have you been subject to disciplinary action by FMHA, Hockey Alberta or the All Peace Minor Hockey League?
Yes
No
Details (Optional):
Work Commitments:
Briefly describe how your work schedule may affect your practice and game attendance.
Coaching Philosophy:
Briefly describe your coaching philosophy as it pertains to the age level you are applying for:
Coaching Aspirations:
Short Term Goals:
Long Term Goals:
List 3 Coaching Skill Areas you consider your strengths:
1
2
3
List 3 Coaching Skill Areas you wish to improve on:
1
2
3
Comments:
References:
Name
List 3 references
Phone Number
How Long has this person known you?
How does this person know you?
Submit completed applications to the FMHA Coach/Manager Director along with a current Criminal Records
check which can be obtained from backcheck. Email [email protected]