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2023-24 Season_Coach Application_for NEW Coaches

2023-24 Season - Coaching Information Form

Please complete each of the following sections:

Question Title

* 1. Complete Personal Information

First Name

Last Name

Address

City

State

Zip

Date of Birth

Phone - Cell

Phone - Secondary

Primary Email Address

Secondary Email Address

Question Title

* 2. Please provide your USA Hockey Membership # for the 2023-24 Season (effective 9/1/2023-8/31/2024). To register now, go to membership.usahockey.com (format example: 248201017NELSO )

Question Title

* 3. Please provide your preference for coaching during the upcoming season:

	Position	Classification	Age Group
1st Choice	1st Choice Position menu	1st Choice Classification menu	1st Choice Age Group menu
2nd Choice	2nd Choice Position menu	2nd Choice Classification menu	2nd Choice Age Group menu
3rd Choice	3rd Choice Position menu	3rd Choice Classification menu	3rd Choice Age Group menu

Question Title

* 4. Check the highest level of USA Hockey CEP certification you've completed (Go to USAHockey's coach lookup https://cepsearch.usahockey.com/)

Level 1 - Initiation

Level 2 - Associate

Level 3 - Intermediate

Level 4 - Advanced

Level 5 - Masters

Not yet certified (USA Hockey CEP certification is available in the fall. To find a clinic go to: https://www.usahockey.com/coachingclinics)

Date of CEP Expiration (MM/DD/YY)

Question Title

* 5. Please provide the following summary information regarding your hockey coaching experience.

Number of Years/Seasons (Head or Asst)

Number of Years/Seasons (Head only)

Previous Associations

Reference 1 - Name

Reference 1 - Relationship

Reference 1 - Phone

Reference 2 - Name

Reference 2 - Relationship

Reference 2 - Phone

Reference 3 - Name

Reference 3 - Relationship

Reference 3 - Phone

Question Title

* 6. Please provide information on your last 3 hockey coaching experiences, starting with the most current.

1. Year (ex. 2022-23)

1. Organization (ex. WAHC)

1. Age Group (ex. Peewee or 12U)

1. Level (ex. AA, A, B1, B2, B, C)

1. Position ('Head' or 'Assistant')

2. Year (ex. 2021-22)

2. Organization (ex. WAHC)

2. Age Group (ex. Peewee or 12U)

2. Level (ex. AA, A, B1, B2, B, C)

2. Position ('Head' or 'Assistant')

3. Year (ex. 2020-21)

3. Organization (ex. WAHC)

3. Age Group (ex. Peewee or 12U)

3. Level (ex. AA, A, B1, B2, B, C)

3. Position ('Head' or 'Assistant')

Question Title

* 7. Provide information regarding other sports in which you've coached.

1. Sport (ex. Soccer)

1. Number of Years

1. Most recent association

2. Sport (ex. Baseball)

2. Number of Years

2. Most recent association

3. Sport (ex. Football)

3. Number of Years

3. Most recent association

Question Title

* 8. Provide information regarding sports you've played.

1. Sport (ex. Hockey)

1. Highest Level (ex. College)

1. Highest Level Team/Location (ex. Uof MN)

2. Sport (ex. Soccer)

2. Highest Level (ex. College)

2. Highest Level Team/Location (ex. Uof MN)

3. Sport (ex. Football)

3. Highest Level (ex. College)

3. Highest Level Team/Location (ex. Uof MN)

2023-24 Season_Coach Application_for NEW Coaches

2023-24 Season - Coaching Information Form

Question Title

* 1. Complete Personal Information

Question Title

* 2. Please provide your USA Hockey Membership # for the 2023-24 Season (effective 9/1/2023-8/31/2024). To register now, go to membership.usahockey.com (format example: 248201017NELSO )

Question Title

* 3. Please provide your preference for coaching during the upcoming season:

Question Title

* 4. Check the highest level of USA Hockey CEP certification you've completed (Go to USAHockey's coach lookup https://cepsearch.usahockey.com/)

Question Title

* 5. Please provide the following summary information regarding your hockey coaching experience.

Question Title

* 6. Please provide information on your last 3 hockey coaching experiences, starting with the most current.

Question Title

* 7. Provide information regarding other sports in which you've coached.

Question Title

* 8. Provide information regarding sports you've played.

Question Title

* 9. Please provide any additional relevant work experience (ex. teacher, trainer, etc.)

Question Title

* 10. Please provide any additional relevant training/certification (ex. other sports, seminars, etc.).