2018_2019 Coach & Volunteer Application - Mite/Initiation Program Division (LaSalle Minor Hockey Association)

Print 2018_2019 Coach & Volunteer Application - Mite/Initiation Program Division
Personal Information
  1. Number, Street, City
  2. Example: [email protected] Your submission will be sent to this address.
Position
Certification





  1. Check All That Apply
Coaching Experience
You can list up to three.
Team Selection
References
  1. 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 www.lasallesabres.com.

    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.
Human Validation
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Printed from lasallesabres.com on Monday, October 22, 2018 at 4:57 AM