KAMHA Convenor Application (Kingston Area Minor Hockey Association)

Please complete the below information to be forwarded to the 2020/2021 Selection Committee:

Applicant Information

Name:^*

Required

Cell Number:

Example: ###-###-####

Do you live within the boundaries Of KFL&A^*

Required

Email:^*

Required

Example: [email protected]

Date of Birth:^*

Required

Certification

All volunteers must have a valid CPIC, Respect in Sport, Gender Identity and up-to-date Certification - for certification requirements please see OMHA website

OMHA Coaching Certification:

Highest level and date of completion

Respect in Sport

Date of Certification

Gender Identity

Date of Certification

References

Name:

Phone Number:

Example: ###-###-####

Name:

Phone Number:

Example: ###-###-####

Other Relevant Information

Please indicate below any other relevant information

Other:

Relevant Documents

Please attach any additional documents that you wish to submit (i.e.: references, season plans, etc.)

Attach any additional documents:

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 5. Maximum File Size: 4MB.

KAMHA Convenor Application (Kingston Area Minor Hockey Association)

OMHA Digital Network

Applicant Information

Desired Position

Certification

References

Other Relevant Information

Relevant Documents

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