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BOZEMAN AMATEUR HOCKEY ASSOCIATION (BAHA) NEW AND RETURNING COACH APPLICATION NAME: ADDRESS: ZIP CODE: HOME PHONE: CELL PHONE: WORK PHONE: EMAIL: PLEASE INDICATE WHICH TEAM(S) YOU WISH TO COACH. IF YOU WISH TO COACH ON MORE THAN ONE TEAM, YOU MAY ONLY HEAD COACH ONE TEAM AND ACT AS AN ASSISTANT FOR ANY OTHER TEAMS. TERMITES HEAD COACH ASSISTANT COACH ___________ MITES: HEAD COACH ASSISTANT COACH SQUIRTS: HEAD COACH ASSISTANT COACH PEEWEE: HEAD COACH ASSISTANT COACH BANTAM: HEAD COACH ASSISTANT COACH MIDGET: HEAD COACH ASSISTANT COACH HIGH SCHOOL: HEAD COACH ASSISTANT COACH CURRENT COACHING CREDENTIALS CARD # CURRENT COACHING LEVEL: 1 2 3 4 5 SEASON THIS LEVEL WAS REACHED: *Levels 1-3 must be renewed every 3 years. If you are currently a level 4 or above, you are not required to recertify. COACHING HISTORY (please describe your coaching history and identify community, sport, year, level): COACHING EDUCATION (please describe all coaching education including coaches clinics attended, USA Hockey Coaching Levels completed, etc): COACHING PHILOSOPHY (please provide a brief outline of your coaching philosophy): PLAYER DEVELOPMENT (please describe your approach to player development and skill improvement, i.e. practice format, practice emphasis, etc): COMMENTS OR QUESTIONS: I understand that if I violate any of the standards set forth by BAHA, I may be subject to immediate suspension or dismissal as a coach in BAHA. I further understand that coaching is a privilege and not a right, and I may be dismissed without cause. I also understand that a records check will be conducted on me to determine if any criminal convictions have been proven against me. I expressly consent to this records check. The purpose of such a check is to assist in providing for the welfare protection of the youth under my care as a coach. SIGNATURE ___________________________ DATE
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