Canucks AAA Coaching Application 2023-2024 (Elgin-Middlesex Canucks)

Print Canucks AAA Coaching Application 2023-2024

Personal Information

Name^*

Please print full name
Address^*

Please include your city/town and postal code
Email^*

Example: [email protected]
Home phone

Example: ###-###-####
Work phone

Example: ###-###-#### x###
Cell phone^*

Example: ###-###-####
Do you have a child trying out for this particular team?^*
YesNo

Position Preference

Please state what position you are interested in

What position are you applying for?^*
Head CoachAssistant CoachTrainerManager
Check All That Apply

Experience

Please use the fields below to enter your recent coaching experiences.

Most Recent Team Coached:^*
Season:^*
Organization / Level^*
Role: ^*
How many times have you been suspended as a member of a bench staff?^*
If you indicated you were suspended previously, what were you suspended for? (include the number of games for each)
Please list other recent coaching experience in this space:

Be sure to enclude: Season, Team Coached, Organization/Level, Role

Certification and/or Credentials

Please list all of your coaching certificates:

Philosophy

Please indicate your short term goals for the position:^*
Please indicate your long term goals for the position:^*
List 3 Coaching Skill Areas you consider your strengths: ^*
List 3 Coaching Skill Areas you wish to improve on: ^*
Please provide at least 3 references:^*

Be sure to include the name and contact details for your references.
Do you have any additional comments regarding your application?

Human Validation

Check The Box ^*