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PMHA Volunteer Application Form
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* Indicates required question
First Name
*
First name
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Which position(s) are you interested in?
*
Head Coach
Assistant Coach
Trainer
Manager
Parent Volunteer
Division Coordinator
Equipment Coordinator
Technical Assistant
Special Events Coordinator
Other:
Required
Which Division are you volunteering for
*
Learn to Skate
IP
Novice
Atom
Peewee
Bantam
Midget
Junior
Required
If applying to volunteer for a specific team, please specify
Your answer
Have you completed HNL Volunteer Screening Application
*
Yes
No
Have you completed an RNC Code of Conduct and Vulnerable Sector Check within the past 2 years
*
Yes
No
Have you completed Respect in Sport - Parent
*
Yes
No
Have you complete Respect in Sport - Activity Leader
*
Yes
No
Please specify highest level of coaches certification
*
Choose
Coach Level 1 - Trained
Coach Level 2 - Trained
Development Coach - Trained
Development Coach - Certified
High Performance 1 - Trained
High Performance 1 - Certified
Not Applicable
Have you completed Hockey Canada's Safety Course
*
Yes
No
Other Certifications
Your answer
Please list past hockey coaching experience
*
Your answer
List other coaching experience (outside of hockey)
*
Your answer
Reference #1
*
Your answer
Phone Number
Your answer
Email
*
Your answer
Reference #2
*
Your answer
Phone Number
Your answer
Email
*
Your answer
Have you read and understood PMHA's Code of Conduct for Coaches
*
Yes
No
Please list children playing in Paradise Minor Hockey
Your answer
Submit
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