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Coaching Application
Personal Info
First Name
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Last Name
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Personal Email
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Work Email
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Personal Phone
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Work Phone
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Address
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City
*
State
*
Zip
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What is your prior coaching experience?
I'm a Returning Coach
I'm New to this Club
Most recent experience first, tell us what you've been up to: list the clubs, the years and levels you have coached. Provide references and phone numbers for each.
USA Hockey Credentials
USA Hockey # and Date
Safe Sport # and Date
Age Module level
CEP # and Level
NCSI Background Check # and Date
Playing Background
Youth Hockey
High School
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Other
Enter Details
Team You Are Applying For
I'm Applying for Head Coach
First Choice
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18U
16U
14U
12U
10U
Second Choice
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18U
16U
14U
12U
10U
Third Choice
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18U
16U
14U
12U
10U
Fourth Choice
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18U
16U
14U
12U
10U
References
List three people not related to you
*
I'm A Returning Coach
Name
Relationship
Length of time you known them
Phone
Name
Relationship
Length of time you known them
Phone
Name
Relationship
Length of time you known them
Phone
References are not required for returning coaches.
What is your philosophy of coaching, based on the specific age group you are requesting to coach?
*
What would your goals be for the team that you want to coach?
*
In person interviews may be required.
Completion of this application form does not guarantee you acceptance for a position with Delco Phantoms. Offer of a coaching position is also subject to the results of a background check along with satisfying the necessary requirements of USA Hockey.
Please leave this field empty.
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