2026 - 2027 COACHING APPLICATIONS NOW OPEN (Elgin-Middlesex Canucks)

Please complete all information. Coaching applications will be open from Nov 3, 2025 - Jan 10, 2026. The EMC Coach Mentor will reach out to discuss next steps.

Personal Information

Name^*

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Please print full name

Address^*

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Please include your city/town and postal code

Email^*

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Example: [email protected]

Home phone

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

Work phone

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

Cell phone^*

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

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

YesNo

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Experience

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

Most Recent Team Coached:^*

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Season:^*

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Organization / Level^*

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Role: ^*

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

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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:^*

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

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

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

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Please provide at least 3 references:^*

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

Do you have any additional comments regarding your application?

2026 - 2027 COACHING APPLICATIONS NOW OPEN (Elgin-Middlesex Canucks)

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Personal Information

Position Preference

Experience

Certification and/or Credentials

Philosophy