RYHA Coaching Application

RYHA Coaching Application
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Phone *

Area Code Phone Number
Work Phone

Area Code Phone Number
Email *
example@example.com
Desired Coaching Position (Choose One) *

Head Coach Assistant Coach Goalie Coach
Desired Level to Coach *

Initiation Program Mite Squirt Pee Wee Bantam Midget Girls 8U Girls 10U Girls 12U Girls 14U Girls 16U
Coaching and Playing Experience:
USA Hockey Certification Number
Certification Level
Last Year Certified
Which teams and what year have you coached in the past with RYHA?
Have you coached teams outside of RYHA?If so what level and how many years did you coach?
Please describe your playing experience:
Miscellaneous Information:
How would you describe your ability to to teach or communicate with players?
How would you describe your ability to communicate with parents?
How would you describe your passion/enthusiasm to coach?
Are you currently involved with other functions within RYHA? If not would you be willing to be involved other than coaching?
Screening Policy:

Under USA Hockey rules, all volunteers or employees who have routine access to children (under the age of a minor) consent to be screened by RYHA before (s)he is allowed to have routine access to children in any RYHA program.

By electronically signing this application, I grant RYHA permission to perform a criminal background check on me upon submission of my application and anytime during the hockey season. I further agree that the information contained in the background check will be used by RYHA in its sole discretion to determine whether I am eligible to coach youth hockey.
Please include any special circumstances you would like RYHA to consider in reviewing your background check results.
Enter the message as it's shown *
Please enter your initials and today's date as electronically signing this application *
Should be Empty:

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