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Jefferson Hockey Coaching Application
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Contact Information
Name
*
Your answer
Street Address
*
Your answer
City, State, and Zip Code
*
Your answer
Phone Numbers
*
Your answer
Email Address
*
Your answer
What coaching position are you applying for?
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Head Coach
Assistant Coach
Open to both
What is your preferred age group?
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Mites
Squirts
Peewees
Bantams
Open to Any
What is your preferred level?
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A
B
C
Open to Any
Are you currently USA Hockey CEP certified?
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Yes
No
What is your CEP level, number, and expiration date?
Your answer
What age specific modules have you completed?
Your answer
What is your hockey playing experience?
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Your answer
Please list your hockey coaching experience and/or positions (most recent first)
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Your answer
What are your coaching strengths?
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Your answer
Please outline your coaching philosophy regarding practices, discipline, games and tournaments.
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Your answer
Please list other coaches you'd be interested in coaching with
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Your answer
Explain why you wish to be a Jefferson hockey coach
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Your answer
List specific skills and talents you will bring to Jefferson as a coach
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Your answer
List 3 references with contact information (we will contact them after the interview process)
*
Your answer
List any other information you would like considered here
Your answer
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