*1.What is your contact information?(Required.)

Name

Address

City/Town

Province

Postal Code

Email Address

Phone Number

*2.Returning Coach?(Required.)

Yes

No

*3.Did you coach in 2024 with OISC?(Required.)

Yes

No

*4.What program(s) did you coach in 2024?(Required.)

Boys Competitive (U9-U18)

Girls Competitive (U9-U18)

Other Competitive

Youth Recreational (U13-U18)

Grassroots Active Start (U4-U6)

Grassroots Fundamentals (U7-U9)

Grassroots Learn to Train (U9-U12)

Women

Men

5.What Age Group(s) did you coach in 2024?

U5

U6

U7

U8

U9

U10

U11

U12

U13

U14

U15

U16

U17

U18

*6.What are your coaching qualifications/certifications? Please check all you have completed.(Required.)

None yet.(Don't worry we all start somewhere!)

Active Start

Fundamentals

Learn to Train

Soccer For Life

C License

B License

A License

Respect in Sport (Soccer)

Make Ethical Decisions (MED)

Making Headway in Sport (Soccer)

Other (please specify)

7.Do you have a current Police Record Check for the Vulnerable Sector or willing to obtain one?  (if it expires before Oct. 1, 2024 you will need a new one)

Yes

No

8.Do you have current First Aid Certification?  Please provide details.

9.Do you have other relevant experience you would like to bring our attention to?

10.What program would you like to coach this year? (check one or both)

Boys

Girls

Women

Men

11.Do you know what level you would like to coach this year? (check all of interest)

Premier

D1(U9-U12)

D2(U9-U12)

Regional

C1(U13+)

C2(U13+)

Youth Recreational (U13-U18)

Grassroots Active Start (U4-U6)

Grassroots Fundamentals (U7/8)

Grassroots Learn to Train (U9/10 and U11/12)

12.Are you a parent coach?  (Have a son/daughter on the team you would like to coach)

Yes

No

13.If you are applying to be a Youth Coach, please identify which field(s) you are able to work at

Hillcrest High School

Brewer Park

Owl Park

London Terrace

Champlain Field

Elizabeth Manley Park

Horizon-Jeunesse School

I don't know