Hockey Without Borders
Thank you for taking the time to fill out this form. After we receive it, we will be in touch. At this time we are excited to fill our overseas placements for 2021-2022.
Name *
First and last name
Hometown
Age
Email *
Phone number *
Are you vaccinated? *
If you are vaccinated, please indicate which situation you fall under:
Clear selection
If you are NOT vaccinated, please indicate which situation you fall under:
Clear selection
Please check your current occupation(s)
Which position(s) are you interested in? *
Required
When are you available to take part in our programming?
Why do you want to coach with us?
What is your coaching experience?
What is the best way to connect? email / WhatsApp / FaceTime
Clear selection
Where did you learn about Hockey Without Borders from?
Clear selection
What is the name of the former coach?
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