2019/2020 AA Travel Coach Application (LaSalle Minor Hockey Association)

Print 2019/2020 AA Travel Coach Application
Personal Information
  1. Example: ###-###-#### x###
  2. Example: ###-###-#### x###
Certifications
Check all that apply
  1. Check the certifications you hold.
Coaching Experience
Proposed Staff
Team Selection
Coaching Resume
  1. 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 su​bmission before an interview may be granted. A Police Record Check can be obtained through your local police department.  The 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 applied for and to verify the character references I have suppied 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 apporpriate volunteer position.  All information entered 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.
  2. Example: [email protected] Your submission will be sent to this address.
Human Validation
Printed from lasallesabres.com on Monday, February 18, 2019 at 6:24 AM