Jefferson Hockey Coaching Application
Contact Information
Name *
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Street Address *
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City, State, and Zip Code *
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Phone Numbers *
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Email Address *
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What coaching position are you applying for? *
What is your preferred age group? *
What is your preferred level? *
Are you currently USA Hockey CEP certified? *
What is your CEP level, number, and expiration date?
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What age specific modules have you completed?
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What is your hockey playing experience? *
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Please list your hockey coaching experience and/or positions (most recent first) *
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What are your coaching strengths? *
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Please outline your coaching philosophy regarding practices, discipline, games and tournaments. *
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Please list other coaches you'd be interested in coaching with *
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Explain why you wish to be a Jefferson hockey coach *
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List specific skills and talents you will bring to Jefferson as a coach *
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List 3 references with contact information (we will contact them after the interview process) *
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List any other information you would like considered here
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