Auburn Ice Hawks Coaching Application
Email address *
Coaching Season for application (Start of season Year) *
Name *
Phone (Include area code) *
Address *
City *
Zip Code
Date of Birth *
MM
/
DD
/
YYYY
Gender *
USA Hockey Certification Level (CEP) *
Do you have current NYSAHA Screening *
List completed USA Hockey Age Specific Module(s): *
Desired Division to Coach? *
Required
Desired Position *
Desired Level to Coach *
Do you have a child or children in the program? *
If "Yes", how many children and what age division? (Example: 2@8U)
Have you ever coached in our organization? *
If "Yes" what levels did you coach within our organization?
Highest coaching level in any sport? *
If you have coached for any other youth sport organization(s), please list
Describe why you would like to Coach? *
Whats your hockey playing experience? *
Other hockey experience's:
I understand that I am solely responsible for all financial fees associated with obtaining the required coaching certifications. Also, that all USA Hockey,NYSAHA, and AHC requirements to include Background Screening, Age Specific Modules and Coaching Education Program (CEP) will be completed. I understand that a coaching position requires a great deal of time and commitment and I will make every effort to provide a quality hockey experience for all involved. *
Required
I understand that the AHC will be conforming to the USA Hockey American Development Method (ADM) Program and that all AHC coaches are expected to familiarize themselves with, and adhere to all requirements of this program. I certify that to the best of my knowledge the information provided above is true and complete. I understand that my volunteer service can be modified or terminated at any time with or without notice or cause at the option of the AHC Board of Directors. *
Required
I agree that my electronic signature is valid by completing and submitting this form. *
Required
A copy of your responses will be emailed to the address you provided.
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