Coach & Volunteer Application Form - U9 Division (LaSalle Minor Hockey Association)

Coach & Volunteer Application Form - U9 Division

Personal Information



Coaching Experience

You can list up to three.

Team Selection


DECLARATION: (Note if selected for position you will also be asked to sign a declaration)

A Police Record Check is required before an interview may be granted.  If a PRC is on file and it is less than 3 years old, a Criminal Offense Declaration form is required as part of this submission before an interview may be granted.  A police Record Check can be obtained through your local Police Department.  A Criminal Offense Declaration form is available on the LMHA website at

I authorize the LaSalle Minor Hockey Association to collect personal information appropriate to the position appllied for and to verify the character references I have supplied and to check the given information.  I understand that the information obtained is confidential but may be shared with relevant organizations in order to obtain an appropriate volunteer position.  I understand and have read this application in its entirety and believe all information to be accurate and correct. 

I also understand that should I be accepted as a coach with the LMHA, I am hereby obliged to inform the LMHA Executive Committee Members immediately, should I be charged, tried or convicted of any offense under the criminal code or other provincial or federal statute, while I hold this position of trust with the LMHA.

I have read, understand and agree to the terms for the position of Head Coach as listed in the LMHA Coaches Job Description and the LMHA/OMHA Codes of Conduct.