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* 1. Name:

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* 2. Hockey Canada Registry Number

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* 3. Best phone number to reach you:

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* 4. Best email to reach you:

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* 5. Which Level would you like to Coach in? 

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* 8. Based on your schedule and other commitments (School, Work, your own team), how often will you make it to games, practices and other team commitments?

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* 9. Please Tell us about your own Hockey experience (When did you start playing , what organizations have you played for, what positions did you play,  What camps have you gone to, etc.   If you have you helped as a coach before in any capacity please tell us about that experience. 

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* 10. What do you think makes a great coach? 

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* 11. List at least 3 coaching skills  you think you would be good at: 

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* 12. List any coaching skills you think you would need to improve

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* 13. What is your attitude on Winning and Losing?

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* 14. Please Describe to us why you want to be a Junior Coach. 

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* 15. Please name if there is a specific Coach you want to be matched with 

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