Request edit access
 Tier 2 & Tier 3 Coaching Application for Canton Victory Hockey Association
This application is for a person interested in a Head Coach position for either Tier 2 or Tier 3 levels for the upcoming season. Assistant coaches do not need to complete this application. Your application will be reviewed by the CVHA Board and you will hear back by February 1st. 
Sign in to Google to save your progress. Learn more
Name:
Email:
Street Address:
City:
State:
Zip Code:
Phone (home):
Phone (cell):
Coaching Certification Level:
Clear selection
Coaching Certification Expiration date:
CEP Card #:
Will you have a child playing in the Canton Victory Hockey Association:
Clear selection
Have you coached a CVHA team in the past? Year and Division:
I wish to apply for a Head coaching position within the Canton Victory Hockey Association in the following position(s):
My previous coaching experiences consits of: 
(Please include Year, Division, Assoc. and Head/Assistant Coach Position)
Please list at least one personal reference with name and their phone number:
Have you ever been convicted of a felony?
Clear selection
Have you ever been removed as a coach or parent from any association?
Clear selection
Have you ever been required to appear before MAHA of USA Hockey for a disiplinary hearing?
Clear selection
Will normal working hours affect your ability to be present at all team and CVHA functions?
Clear selection
But submitting this document you agree to the following:
As a CVHA Head Coach, you are expected to be responsible, professional, a good role model, abide by all the rules and regulations of CVHA, USA Hockey, MAHA, and Little Caesars, and to the best of your ability, teach, train, mentor, and provide positive guidance for the members of this association.
Inappropriate, illegal, or conduct unbecoming a coach can be grounds for immediate removal from the head coach position, and you understand and agree that the head coach position is "at-will" and CVHA can remove you from your position at any time. 
You certify that all information provided in this application is true and any interntionally provided incorect information, or intentionally omitted information, will disqualify you from obtaining a coaching position. 
I hereby agree to indemnify and hold harmless Canton Victory Hockey Association (CVHA), it's elected and appointed officers, directors, coaches, volunteers and any other person directly or indirectly affiliated with CVHA, and Canton Township, it's elected and appointed officials, employees, and volunteers, from any and all liability, including personal injury or bodily injury, whick may arise or be associated with this application, a coaching position, or any information received as a result of this application or any coaching application. 
I also gree to allow CVHA to investigate ny claims made in this application and do a personal background check into any possible criminal activities with any police authorities. 
I hereby certify that I have read the above information and agree to its content. 
(Please type name and date below affirming you filled out this application.)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy