2025-2026 Coach Application Form

COACH APPLICATION

STRAIT RICHMOND MINOR HOCKEY ASSOCIATION
If you are interested in coaching a TOP TIER team with Strait Richmond Minor Hockey for the 2025-2026 season, please complete this form by July 4, 2025 (Other coaching positions will be considered at a later date). If there are multiple applications for one team, a selection committee will interview each applicant and make a recommendation to the Strait Richmond Minor Hockey Executive Board for approval.

THANK YOU FOR YOUR INTEREST!
APPLICANT INFORMATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number
Please enter a valid phone number.
E-mail
Where confirmation will be sent to.
QUALIFICATION INFORMATION
Highest Coaching Certificate Level:
Certificate Number:
Please select all that apply: (All required program courses are offered through HNS and cost shared by SRMHA.)

Intro to Coach ProgramHU Safety ProgramRespect in Sports for Activity LeadersCRC/VSC (Up to Date)Emergency First AidCPR (Level C) & AED
Please include dates for any of the qualifications selected above:
Division/Level(s) Requested:

U11 Top TIERU13 Top TIERU15 Top TIERU18 Top TIER
Please indicate your choice of assistants/trainer (if available now, but not required) and their experience/courses: The head coach must present all bench staff, assistant coaches, manager, and trainer to the executive for approval. Include their name, address & Experience/Courses.
Please provide an outline of your past coaching experience. Please include Years, Divisions/Levels, Association, and Positions held (head coach, assistant, etc)
Please outline your coaching philosophy and provide the skills that best qualify you for the coaching position you have requested:
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Note: By Signing above, all prospective coaches have reviewed and understood the polices of Strait Richmond Minor Hockey Association as posted on the SRMHA website.
Should be Empty:

COACH APPLICATION

APPLICANT INFORMATION

QUALIFICATION INFORMATION