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Hockey Without Borders
Thank you for taking the time to fill out this form. After we receive it, you will be added to our coaching email list. We will update you moving forward with opportunities to coach overseas.
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* Indicates required question
Name
*
First and last name
Your answer
Hometown
Your answer
Age
Your answer
Email
*
Your answer
Phone number
*
Your answer
Are you vaccinated?
*
Yes
No
Other:
If you are vaccinated, please indicate which situation you fall under:
Received two doses of a vaccine
Received one dose of a vaccine (plan to receive another)
Received one dose of a vaccine (do not plan to receive another)
Other:
Clear selection
If you are NOT vaccinated, please indicate which situation you fall under:
Plan on receiving both doses of a vaccine
Plan on receiving one dose of a vaccine
Cannot receive the vaccine due to a medical condition
Do not plan on being vaccinated
Other:
Clear selection
Please check your current occupation(s)
Student
College/Juniors Player
Minor Kids Coach
Juniors/Collegiate Coach
Professional Coach
Skills/Private Coach
Other:
Which position(s) are you interested in?
*
5-9 month overseas placement
2-4 month overseas placement
3-6 week placement
College Internship Program
Overseas Clinic 7-14 days.
Local Learn to Skate program (Canada/US)
Other:
Required
When are you available to take part in our programming?
Fall (September-November)
Winter (December-February)
Spring (March-May)
Other:
Why do you want to coach with us?
Your answer
What is your coaching experience?
Your answer
What is the best way to connect? email / WhatsApp / FaceTime
Email
Facetime
Whatsapp
SMS Message
Other:
Clear selection
Where did you learn about Hockey Without Borders from?
Former Hockey Without Borders coach
Social Media
Other:
Clear selection
What is the name of the former coach?
Your answer
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