Elgin Middlesex Canucks AAA Coaching Application 2025-2026 (Elgin-Middlesex Canucks)

Please complete all information. Coaching applications will be open from Dec 1, 2024 - Jan 15, 2025. The EMC Coach Mentor will reach out to discuss next steps.

Personal Information

Confirmation Email (submission will be sent to this email address)^*

Required

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

Name^*

Required

Please print full name

Address^*

Required

Please include your city/town and postal code

Home phone

Example: ###-###-####

Work phone

Example: ###-###-#### x###

Cell phone^*

Required

Example: ###-###-####

Do you have a child trying out for this particular team?^*

YesNo

Required

Experience

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

Most Recent Team Coached:^*

Required

Season:^*

Required

Organization / Level^*

Required

Role: ^*

Required

How many times have you been suspended as a member of a bench staff?^*

Required

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:^*

Required

Please indicate your long term goals for the position:^*

Required

List 3 Coaching Skill Areas you consider your strengths: ^*

Required

List 3 Coaching Skill Areas you wish to improve on: ^*

Required

Please provide at least 3 references:^*

Required

Be sure to include the name and contact details for your references.

Do you have any additional comments regarding your application?

Elgin Middlesex Canucks AAA Coaching Application 2025-2026 (Elgin-Middlesex Canucks)

ALLIANCE HOCKEY Digital Network

Personal Information

Position Preference

Experience

Certification and/or Credentials

Philosophy