This form is to be used only for Rep A, GOLD & SELECT SIX Head Coach applications. Please complete all (* required) sections of this form and electronically sign. Assistant Coach, Manager or Trainer volunteers are selected by the Head Coach.

Please note Hockey Canada has recently changed the Age-Division Names Hockey Canada Announces Change to Age-Division Names which are now being used in the application form.

A. Personnel Information:

Last Name*:

First Name*:

Preferred First Name:

Address*:

City*:

Postal Code*:

Home Phone*:

Cell Phone:

Email*:

Date Of Birth*

Have you submitted a completed police check in the past five years to MMHA?YesNo

If yes, have you volunteered continually since you submitted the completed police check? YesNo

If " No", no one will be allowed to coach who has not submitted a completed police check form. Police check forms can be found in the Presidents mail slot at Meadowvale Four Rinks or you can request one from president@meadowvalehockey.com

* Tell us about your coaching Philosophy:

If you are not an existing Meadowvale coach, please provide two references.

1st Reference

Last Name:

First Name:

Relationship:

Home Phone:

2nd Reference

Last Name:

First Name:

Relationship:

Home Phone:

B. Division (age) you wish to apply to be Head Coach of:

1. State your first choice*:Select Division - Year of BirthU7 - 2015,2016,2017U8 Gold - 2014U9 Gold - 2013U10 - 2012U11 - 2011U12 - 2010U13 - 2009U14 - 2008U15 - 2007U16 - 2006U17 - 2005U18 - 2004No Preference

3. State your second choice:Select Division - Year of BirthU7 - 2015,2016,2017U8 Gold - 2014U9 Gold - 2013U10 - 2012U11 - 2011U12 - 2010U13 - 2009U14 - 2008U15 - 2007U16 - 2006U17 - 2005U18 - 2004No Preference

If none of the above choices are available, would you consider alternatives?YesNo

If you will be coaching your own child (or a spouse or relative’s child), please note: It is recommended that you choose to coach at a level where your child will be among the top 50% of players on the team. This tends to maximize the experience for the child, and minimize the discontent that often surfaces when the child of the coach is near the bottom of the team’s skill pool. It is the MMHA’s policy to place the most qualified coaches available with the highest level teams.

*Will you be coaching your own child (or a spouse or relative’s child)?YesNo

If "Yes", Child's Last Name:

If "Yes", Child's First Name:

If "Yes", Division played last year:Select DivisionU7U8U9U10U11U12U13U14U15U16U17

If "Yes", Level played last year:Select LevelAGoldRedWhiteBlueGreen

If your choice of level to coach is above the level your child played last year, please explain why you feel that the child can play at higher level.

If you have any Team Officials please list them below.

Manager Last Name:

Manager First Name:

Assistant 1 Last Name:

Assistant 1 First Name:

Assistant 2 Last Name:

Assistant 2 First Name:

Junior Mentor Last Name:

Junior Mentor First Name:

'A' must have one Team Official qualified in the Hockey Canada Training Program (HTCP). To cover those situations where a Team's Trainer is new to the MHL, the effective date for such certification will be the day following the date of the Final Convening Meeting in each Season. (i.e.: The first Monday of November). It is strongly recommended that all other teams have a certified Trainer registered to the team staff.

Note that the Head Coach and Trainer can not be the same person. Also an Arena pass will not be granted to a Trainer without a valid HTCP number.

Trainer Last Name:

Trainer First Name:

Does your Trainer have an HTCP trainer’s certificate?YesNo

If "Yes", Enter HTCP number?

If "Yes", What is the HTCP Level?

If "Yes", Expiry Date (MM/DD/YYYY)?

Note:

1) This does not register these individuals onto your team. Separate applications are available during the season.

2) All Team Officials must be certified in the Hockey Canada Harassment & Abuse ("Speak Out") Program. New Team Officials have until Dec 1 of each season to get certification.

C. Training

The MMHA and MHL requires that all 'A' Head Coaches have National Coaches Certification Program (NCCP CBET Development Certification, Speak Out Certification.

Certification obtained outside the GTHL may require additional training or credential conversion

Do you have the correct NCCP certification for the level you're applying for?YesNo

If "No", will you take the training course this season?YesNo

If "Yes", what is your NCCP number?

D. Experience

Please specify your previous hockey coaching experience. Include the year, organization, position and level of play you coached in. You may also include other experience if you feel that it relates to your application.

E. Coaches' Responsibility Agreement

All Coaches must conduct themselves in a professional and upstanding manner not unbecoming that of a Minor Hockey Official.

Coaches are responsible for complete oversight and operation of the team but must not be one of the minimum two signing authorities for the team bank account.

All team fund raising events are subject to board approval.

Arena Passes are the property of the Meadowvale Hockey Association and the Mississauga Hockey League and may be revoked at any time for behaviour deemed inappropriate.

Coaches MUST read the MHL Rule Book and to make every effort to understand its contents. Questions are encouraged and should be directed to your particular MMHA Executive.

It is the Head Coach’s responsibility to ensure the submission of a Team Budget and a Year End Financial Statement if any external activities are planned. The Team’s initial Budget must be forwarded to all team members, the Mohawks Director and the VP of Operations by October 15th. An updated interim budget must be submitted to all team members and the previously mentioned board members by December 15th. Failure to comply will result in the loss of any external privileges. The team’s Year End Financial Statement must be forwarded to all team members and the previously mentioned board members by midnight April 15. Failure to comply will be the loss of coaching privileges.

The Mississauga Hockey League and the MMHA require that all players be given equitable playing opportunity and ice time. All members of a team’s coaching staff must adhere to this fundamental principle and abide by all of the regulations stipulated in the MMHA Constitution and By-Laws.

Choice of Coaches

The MMHA’s purpose is to provide an environment that allows each player to develop to his or her fullest potential. Coach selection is critical to this goal. Coaches are chosen by the MMHA Coach Selection Committee based on a number of factors including experience, training, certification, player needs, parent evaluations, attitude, enthusiasm, dedication, history, and MMHA needs.

You may be asked to attend an interview as part of this application.

*By Checking this box - I AGREE TO ALL OF THE ABOVE: