2019-20 Houseleague Coaching Application (Riverside Minor Hockey)

Print 2019-20 Houseleague Coaching Application

Please complete the form in its entirety and submit. You will be notified if further action is required.

Personal Information

Please provide your email address:^*

Example: [email protected]
Please provide your full name^*
Phone Number:^*

Example: ###-###-####
Provide Address^*
Do you currently have any coaching certifications? If yes please list them below.^*

If you do not have current certifications you will be required to complete the necessary clinics.
Do you have a valid Police Record Check? ^*
YesNo
If you do not have a valid PRC you will be required to provide one. RMHA will manage the submissions.

Team Request

What DIVISION are you interested in coaching? ^*
Do you have a child or other relative eligible for this division?^*
YesNo
If you answered YES to the question above please provide the players name and information regarding the relationship (i.e. son, daughter, nephew, guardian, etc)

Coaching History

Provide as much background as possible on your personal hockey coaching experience.

Have you coached in RMHA before? ^*
YesNo
Teams / position:^*

(Include teams you have coached, location and year in which you coached).
Please provide your top 3 goals for a team which you would coach: ^*