Bedford & District Minor Hockey Association

Coaches Application Form for 2008-2009 

1.      Applicant:

Name:          

Address:          

                                  Email:          

Phone:  Home:           Work:           Cell:  Fax: 

 

2.   CAHA Certification:

	Coach	Intermediate	Advanced	Trainer/Safety	Speak Out
Date Certified
Province of Certification
Certificate Number

 

3.  Division/Level(s) applied for:

            

	First Choice	No Choice Atom-AAA Atom-AA Atom-A Atom-B Atom-Female Atom-Recreational Peewee-AAA Peewee-AA Peewee-A Peewee-B Peewee-Female Peewee-Recreational Bantam-AAA Bantam-AA Bantam-A Bantam-B Bantam-Female Bantam-Recreational Midget-AAA Midget-AA Midget-A Midget-B Midget-Female Midget-Recreational
	Second Choice	No Choice Atom-AAA Atom-AA Atom-A Atom-B Atom-Female Atom-Recreational Peewee-AAA Peewee-AA Peewee-A Peewee-B Peewee-Female Peewee-Recreational Bantam-AAA Bantam-AA Bantam-A Bantam-B Bantam-Female Bantam-Recreational Midget-AAA Midget-AA Midget-A Midget-B Midget-Female Midget-Recreational
	Third Choice	No Choice Atom-AAA Atom-AA Atom-A Atom-B Atom-Female Atom-Recreational Peewee-AAA Peewee-AA Peewee-A Peewee-B Peewee-Female Peewee-Recreational Bantam-AAA Bantam-AA Bantam-A Bantam-B Bantam-Female Bantam-Recreational Midget-AAA Midget-AA Midget-A Midget-B Midget-Female Midget-Recreational

 

4.  Previous Experience

Total Years of hockey coaching experience

Total Years of CAHA certified coaching experience

	Association	Team/Level	Position
2007/2008
2006/2007
2005/2006
Other

 

5.  Coaching Philosophy

Please outline your coaching philosophy indicating what your goals would be for yourself, the players and the team.

 

 

Date: