Four Counties - 2021 / 2022 Coach Application (Mooretown Minor Hockey)

Print Four Counties - 2021 / 2022 Coach Application
Contact Information
Please provide all required information
  1. Full name of applicant
  2. Home address
  3. ###-###-####
  4. You will receive a copy of your submission
  5. ###-###-####
Team Selection
Please select the team that you are interested in coaching.
  1. Name & Position
Coaching Information
Please indicate what, if any, certifications you hold. Information on certification requirements for coaching can be found on the website under the link "For Coaches". ***Please note that proof of certification may be requested (photocopy).***

  1. Check All That Apply
  2. Please list #s & expiry dates of certifcation(s) checked above
  3. Please list Year, Association (if not MTMHA), Team, Level, Your Position - 1 season per line
  4. If you have coached/played beyond minor hockey please provide details
  5. If YES, please provide details
Coaching Philosophy
Please answer the questions below to help describe your coaching methods and philosophies.
Self Evaluation
How do you rank yourself in the following areas:
  1. Harrassment & Abuse, Discipline, Code of Conduct
On the website ( you can find the MTMHA Constitution and ByLaws, the Discipline Policy and our Code of Conduct. As a coach you must be familiar with all of these documents. Please indicate below that you are/have:
  1. By agreeing below, I am confirming that all of the above information is accurate and true.

    This application is being made in good faith with the understanding that a false application may result in any future consideration or application for coaching (or other MTMHA staff) positions being rejected.

    If awarded a coaching position I will make every effort to fulfill the obligations of being a coach and adhere to the policies of MTMHA.

    In addition, I understand that an OPP Vulnerabilty Sector Check must be successfully completed if I am to be awarded a team.  I will also complete the OMHA Respect in Sport Leadership Program as necessary.

Human Validation
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Printed from on Saturday, August 13, 2022 at 9:09 PM