CAMPBELL RIVER MINOR HOCKEY ASSOCIATION 225 S Dogwood Street, Campbell River, BC V9W 8C8 Phone/Fax (250)

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1 225 S Dogwood Street, Campbell River, BC V9W 8C8 Phone/Fax (250) Dear Representative Coach Applicant, Thank you for applying for a Representative Head Coach position. Please note that only those seeking a Head Coach position need to apply at this time. Assistant Coach positions will be appointed by the Head Coach of any given team. Once appointed, their name will be presented to the CRMHA Executive for ratification. All applicants are requested to provide the following please: a complete and sign the application form (4 pages attached) written answers to the attached Coach Questionnaire attach a comprehensive years coaching plan suitable for the level of Representative team you wish to coach attach documentation of Speak Out and any coaching qualifications that you have received Please submit applications by mail to CRMHA address as listed above, hand deliver to the drop slot or in person between 4:00 6:00 pm Monday to Friday up until April 30 th of the current year. The CRMH Head Coach will arrange for interviews with the Representative Selection Committee and will conduct interviews with all applicants in May. Following the interview process the Head Coach on behalf of the Selection Committee will present the most qualified candidate to the executive for ratification at their regular monthly meeting in June. Once the decision is finalized at the Executive level all applicants will be notified. Thank you for applying, all candidates will be contacted once a decision is made. If you have any questions or concerns, please contact the Minor Hockey office, your call will be returned as soon as possible. Head Coach, CRMHA /kjt

2 REPRESENTATIVE COACHING APPLICATION FORM Name (Given Name) (Middle Name) (Surname) Address Postal Code Telephone (H) (W) Cell Fax Birth Date Place of Birth Employer Occupation Address of Employment Phone Preferred Coaching Assignment (if more than 1 choice please number with # 1 being first choice between A & B in any given division) A Team B Team Atom PeeWee Bantam Midget Midget Female Certification/Training NCCP (National Coaching Certification Program) Year Completed Location Initiation Program Coach Level (Coach Stream) Intermediate (Development 1) Advanced (Development 2) Pg 1 of 4

3 Other Coaching Courses or Training Activities Coaching Experience Hockey List in Order starting with most recent Year Association and Team Name Age Group Position Other Sports Year Sport Association Age Group Position Pg 2 of 4

4 Playing Experience List in order starting with most recent Year Association and Team Name Coaching References Name Address Phone Position Name Address Phone Position Undertakings 1. I hereby consent to the disclosure of the above information. 2. I hereby acknowledge the authority of Hockey Canada, BCAHA, the District and local Minor Hockey Association and agree to carry out and abide by their constitutions, bylaws, rules and regulations. 3. I hereby acknowledge that I have read and understand the coaches role outlined in the Coaches Code of Conduct. 4. I hereby agree to familiarize myself with the NCCP requirements for coaching Minor hockey and ensure that I maintain the required level of certification. 5. I have or will have filed for a current criminal record check at the time of my personal interview. I understand that if I am successful I will not be ratified by the CRMHA Executive without it. (Criminal Record Search Volunteer Forms & instructions are available from the CRMHA office, needs to be updated every 3 years.) Signature Date Pg 3 of 4

5 COACH QUESTIONNAIRE Please answer the following questions and submit with your Rep. Coach application form 1. A) What is your general coaching philosophy for coaching a representative hockey team? B) Please explain your philosophy on the Representative Affiliation Program and how do you see this process creating success for your team and the Affiliate Player personally? 2. Describe your coaching objectives for the season. 3. What role does effective communication play in the operation of rep hockey concerning: players, team support staff and parents? 4. What is the role of the executive and rep committee with respect to a representative hockey team? 5. A) (If applicable) What are the advantages and disadvantages of coaching your child? B) If your child is not selected for a team that you are applying to coach, will you continue to coach the team? 6. Do you plan to include team rules in your season? What measures would you use for team/player discipline if your rules were not observed? 7. How will you approach player ice time/development and the utilization of all your team members, please address goalies as well? Pg 4 of 4