Fort Macleod Minor Hockey Association
2016/17
Manager Application Form
The Fort Macleod Minor Hockey Association is in the process of accepting applications from persons interested in Team Manager Positions for the upcoming hockey season. Interested individuals must complete this form, and mail, email or drop off to the FMMHA. All categories of the application must be completed. Our goal is to be able to offer workshops and tools to help you better do your jobs, and by filling out this application it will help us to prepare appropriate materials.
Name:______
(Given Name) (Middle) (Surname)
Address:______Postal Code______
Phone: Home______Work______Cell______
Email:______Date of Birth______
Employer:______Phone #:______
Preferred Managing Assignment Please put an X in space provided.
Initiation ______
Novice ______
Atom ______
Peewee ______
Bantam ______
Midget ______
Criminal Record Check must be provided every Managing year
Criminal Record Check submitted Yes/No
Certification Completed Yes/No
Respect in sport ______Expiry Date:______
Hockey Canada Safety ______Expiry Date:______
Speak out ______Expiry Date:______
Coach 1 Introduction ______Expiry Date:______
Coach 2 Coach level ______Expiry Date:______
Standard First Aid ______Expiry Date:______
List any additional clinics, courses, workshops and seminars not listed above
______
Hockey Managing Experience
(List in order, start with most recent)
Year Association/Team Age Group
______
______
List any volunteering or managing in other Sports
Year Association/Team Age Group Sport_
______
______
Identify your strengths as a Manager
______
Signature:______Date:______
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