Stoughton Youth Hockey Association Coaches Application

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Thank you for your interest in coaching youth hockey in Stoughton. We truly appreciate your support!

The Submission of a coach’s application does not guarantee a coaching position for the season. The number of coaches required, experience and references would all be considered when appointing coaches. Some coaching position assignments are dependent on which team the coach’s player ends up on and will not be determined until after tryouts. SYHA reserves the right to place coaches in positions where they are most critically needed. Coaches with children who play will only be considered for teams that their kids play on unless otherwise requested by the coach.

Please complete the application below and submit it to the Stoughton Youth Hockey Association by July 31st to be considered for a position for the upcoming season. Late applications will be reviewed at the discretion of the Stoughton Youth Hockey Board of Directors.

* The Stoughton Youth Hockey Association is a member in good standing of Wisconsin Amateur Hockey Association (WAHA), an affiliate of USA Hockey. USA Hockey requires a police background check for all volunteers who work directly with children - including, but not limited to, coaches, assistant coaches, trainers and team managers.

Email *

Applicant Information

First Name *

Last Name *

Street Address *

City *

State *

Zip *

Phone Number *

Years of Playing Experience *

Years of Coaching Experience *

USA Hockey Certification Number

Year Received

Level(s) Interested in Coaching

Learn to Skate

U10 (Squirts)

U12 (PeeWees)

U14 (Bantams)

Please tell us why you are interested in coaching: *

References

Please list two references we may contact to verify your coaching experience.

Reference 1 Full Name *

Relationship to Reference 1 *

Reference 1 Email *

Reference 1 Phone Number *

Reference 1 Full Address *

Reference 2 Full Name *

Relationship to Reference 2 *

Reference 2 Email *

Reference 2 Phone Number *

Reference 2 Full Address *

Disclaimer and Signatures

I certify that my answers are true and complete to the best of my knowledge.If this application leads to a Coaching Position, I understand that false or misleading information in my application or interview may result in my release.

Signature

Please type your full legal name in agreement with the above statement

Today's Date

YYYY

I authorize and give consent for the Stoughton Youth Hockey Association to obtain information regarding myself. This includes the following: Criminal Background Records/Information, Drivers License Check, Training and Experience, and Personal References

I authorize the records and information checks listed above

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Signature

I the undersigned, authorize this information to be obtained either in writing or via telephone in connection with my volunteer application. Any person, firm or organization providing information or records in accordance with this authorization is released from any and all claims of liability for compliance. Such information will be held in confidence in accordance to the organization’s guidelines.

Please type your full legal name in agreement with the statement above

Today's Date

YYYY

Submit

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