House / Local League Coaching Application 2023/24, Essex Ravens Local League (Essex / Southpoint Rep Hockey)
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House / Local League Coaching Application 2023/24
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House / Local League Coaching Application 2023/24
Thank you for your interest in coaching for the 2023/24 Season. Please fill out the following form
Contact Information
Name
*
Address
*
City
*
Postal Code
*
Phone Number
*
Example: ###-###-####
Email Address
*
Example:
[email protected]
Certifications
Do you currently have a coaching certificate? If yes, what level?
Coach 1 (Intro to Coach)
Coach 2
Development 1
No Current Coaching Certifications
Check All That Apply
Do you have a PRS Certification? (Respect in Sports - Coach or Speak Out)
Yes
No
This will not be the same as Respect in Sports - Parent
2023 / 24 Season
I wish to apply for the following team
*
Select One...
First Shift
IP / U7
U8
U9
U11
U13
U15
U18
Choose one Age Level
Position
*
Select One...
Head Coach
Assistant Coach
Trainer
Willing to help in any position
If you are not selected for your choice above would you consider applying for another team?
*
Yes
No
Will you have a child playing on this team?
*
Yes
No
Experience
Prior Coaching Experience
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again