Head Coaching Application 2025-2026 (Mt Brydges Minor Hockey)

Thank you for your interest in a head coaching position with the Mt. Brydges District Athletic Association. All applications are due no later than June 10, 2025.

To Start With

Please indicate whether or not you have completed an on-line Head Coaching application in the last 2 years. If you indicate YES, you are only required to complete the Introduction and Reference Sections of this form. Please ensure that if any information within the other sections have changed, you update that information. If NO, please complete the entire form.

Today's Date:^*

Required

Have you completed an on-line Coaching application within the last 2 years^*

YESNO

Please follow the above instructions depending on your selection.

Introduction

NAME:^*

Required

Full Name

ADDRESS:^*

Required

HOME PHONE:

CELL PHONE^*

Required

EMAIL ADDRESS:^*

Required

Example: [email protected]. Your submission will be sent to this address.

Coaching Experience

Select all hockey coach certification levels completed. Refer to the Hockey Canada National Coach Certification Program (NCCP) website for more details on the various levels.

Hockey Coach Certification Levels Completed^*

Coach 1 - Intro to Coach (Trained)
Coach 2 - Coach Level (Trained)
Coach 2 - Coach Level (Certified)
Development 1 (Trained)
Development 1 (Certified)
Hockey Trainer Certification Program (Level 1)
Other (Please Specify Below)

Check All That Apply

Other

Provide expiry date for each certification level^*

Required

Coaching/Playing/Evaluating Experience (include highest level played / highest level coached)

Role / Category / Position in that order

WHY DO YOU WANT TO COACH HOCKEY?

Have you ever been suspended by any amateur sports organization?

If Yes please provide details

What is the anticipated role of your Co-coaches, Trainers, Managers and Assistants?

Identify How you See Each Role in Relationship to You

Short-Term Goals for you as a Coach?

Long-Term Goals for you as a Coach?

Steps necessary to achieve these goals:?

If you have a child who will be trying out for the team you are applying for, how would you rate their ability?

At what level did your child play last year?

List 3 Coaching / development areas which you wish to improve:

Self Evaluation

Player/Child Development

Select One Option

Leadership and Communication Skills

Select One Option

Hockey Skill, Knowledge and Resources

Select One Option

Knowledge of Harassment and Abuse Policy

Select One Option

Seasonal Planning

Select One Option

Practice Planning Skills

Select One Option

Teaching Skills

Select One Option

Evaluation and Error Detection Skills

Select One Option

Game Preparation and Management Skills

Select One Option

References

You are required to provide at least 3 references. At least one being an assistant coach or association reference, and one parent^*

Required

Include telephone contact # for each and in what capacity they know you

I agree that the statements entered above are accurate to the best of my knowledge^*

Head Coaching Application 2025-2026 (Mt Brydges Minor Hockey)

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To Start With

Introduction

Coaching Experience

Self Evaluation

References

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