NVHC Coaching Application Form - 2020 Spring Programs

Please complete this form to submit your application - note that your application will not be submitted until you click the “Submit” button at the end of this form. We look forward to reviewing your application.

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* 1. Indicate (by ranking) the type of coaching position you'd prefer.

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* 2. What age group team are you interested in coaching? Select all that apply.

18/19U

16U

14U

12U

10U

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* 3. Within which organization are you interested in coaching? Select all that apply.

Spring Selects

Spring House

Girls Program

8U House

8U Tournament Teams

If there are specific teams you are most interested in coaching, please list them here

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* 4. Personal Information:

First Name

Last Name

City and State

Email Address

Phone Number

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* 5. Are you a US citizen?

Yes

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* 6. Professional Information

Occupation

Employer (name/city)

Time in job

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* 7. Coaching Certifications (CEP, Safesport, Background)

CEP Level

Expiration Year

CEP #

Safesport Training Date of Completion

PVAHA Background Check Date of Completion

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* 8. Coaching Certifications (Modules and additional Training)

Completed online modules (8U, 10U, goaltending, etc.)

Additional coaching training