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Coaching Application

Coaches Application

WYSA Coaching Position Application
Please fill out the info as requested - Thanks for Volunteering! CORI check, USA & MA Hockey Registration, SafeSport and Coaching Certification is MANDATORY.
Name *
Email address *
Please type in carefully
Phone number to be contacted at *
Example: 1234567890 (No spaces)
Coaching Education Program Certification *
Choose 1
CEP Number
Age Division 1st Choice *
Choose 1
Age Division 2nd Choice *
Choose 1
Playing experience *
Highest level of hockey career
Hockey coaching experience *
Pick highest level
Other coaching experience
Provide other sports that you have coached
Requested Practice time *
Choose 2

Agreement to register with USA/MA Hockey, submit CORI form, and complete all required USA/MA Hockey Coaching Certification requirements including Safe Sport *
If agree, you are required to complete USA/MA Registration and CORI submittal before the season starts and all coaching certification requirements including Safe Sport by 11/30 of the season you are volunteering for.
1 file attached to this page:
WYSACoachapp12 (13 KB)
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