2017/2018 Competitive Head Coach Application Form Ottawa Girls Hockey Association Tier 2-4 coaching applications Deadline: May 15, 2017 Interviews (if required) will be held at the end of May. Coaches will be named at the beginning of June. Note: Tryouts will be held in August. Please forward completed applications to Fred Barzyk ([email protected]). The submission deadline is May 15, 2017. LAST NAME: _ ___________________FIRST NAME: _______________________ HOME ADDRESS: _____________________________________________ POSTAL CODE: ____________ HOME PHONE: _____________________ WORK PHONE: _____________ E-MAIL ADDRESS: __________________________ I am interested in a position as a head coach at the following level: Atom BB/B ____ Atom C ____ Peewee BB/B ____ Peewee C ____ Bantam BB/B ____ Bantam C____ Midget BB/B ____ Midget C _______ Note: These are anticipated teams depending on registration levels, skill levels and the availability of coaches. Selected coaches will be expected to pass a Police Records Check and agree to follow OGHA policies. Level coaching certification Date completed Certification Number City and Province Initiation Coach Intermediate/Development 1 & 2 Other (specify) Coaching Experience: Position Held Team & Level Association Year Provide two references that are familiar with your hockey background. Name: _______________________________Home #: ___________Work #: _______________ Name: _______________________________Home #:____________Work #: ______________ COACHING EXPERIENCE AND PHILOSPOHY: Provide a brief description of your coaching experience and philosophy below or on a separate page. _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________
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