Program of Excellence Staff Application Form

Program of Excellence Staff Application Form

Thank you for applying. Only those selected for interview will be contacted.
Name*

First Name Last Name
Email*
example@example.com
Date of Birth*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*

Area Code Phone Number
Do you have a valid CRC?*

YesNo
What Program are you applying for?*

Female Regional CampFemale U18 Team BCMale U15 Provincial TournamentMale U16 Regional CampsMale U16 BC CupMale U16 Team BC
What position are you applying for? Coaches must be Development 1 or HP1 certified to be considered.*

Head CoachAssistant CoachTrainer/Athletic TherapistEvaluator
What position are you applying for? Head Coach and Assistant Coaches must be HP1 certified to be considered.*

Head CoachAssistant CoachTrainer/Athletic TherapistVideo CoachEquipment Manager
Where did you coach in the 2022-2023 season and in what position?*
Where do you plan on coaching in the 2023-2024 season and in what position?*
Would you be available for all the below weekends?*

Female Regional Camp - April 14-16 - Salmon ArmFemale Regional Camp - April 21-23 - LangleyFemale Provincial Camp - July 20-23Female September Camp - September 2023 (TBD)Female U18 National Championship - November 2023
Would you be available for all the below weekends?*

Male Regional Camps - March 17-19 or March 24-26 (must attend one)Male BC Cup - April 20-23 - Salmon ArmMale Provincial Camp - July 24-27WHL Cup - October 2023
Reference #1 Name*
Reference #1 Email*
Reference #1 Phone *
Reference #2 Name*
Reference #2 Email*
Reference #2 Phone*
Hockey Resume:*

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