2017-2018 Official Application Form - Sport Ngin
2017-2018 Official Application Form Men’s National Team Experience 1 of 2
Hockey Canada National Team Experience Support Staff
Name: ______________________________________________ Date of Birth: _____________________ (dd / mm / yr. ) Mailing Address: Home Work ________________________ (Street Name)
____________________ _____________ (City) (Province)
_____________ (Postal Code)
Telephone: ______________________ ______________________ ______________________ (Home) (Business) (Cell) Email Address: ________________________________________________ Languages spoken:
English
French
Both
YOUR CURRENT HOCKEY EMPLOYMENT: YOUR PREVIOUS HOCKEY EMPLOYMENT: Team: ______________________________________ Team: ______________________________________ League: ____________________________________ League: ____________________________________ Position: ___________________________________ Position: ___________________________________ Years in Current Position: ______________________ Years in Previous Position: ______________________
POSITION APPLICATION I would like to submit this application for consideration as an (please check ONLY ONE): Equipment Manager Athletic Therapist In order to participate in the 2016 National Under-17 Development Camp you
must be a certified athletic therapist. Please provide your CATA (Canadian Athletic Therapists Association) number:
Under–17 Program The Under-17 program consists of a National Development Camp in July and an international competition (World Under-17 Hockey Challenge) with three Canadian teams and five international teams in November. The top 66 players in Canada will be drafted onto three teams for the World Under-17 Hockey Challenge.
Timelines and commitments for successful U17 candidates (Note: Dates and locations subject to change) Month
June / July July 21-28
Location
N/A Calgary
Event
Various Conference Calls Development Camp
EXPERIENCE Please indicate the following information relating to your experience: year, team, position, special, championships, other achievements or awards:
HOCKEY CANADA or BRANCH EXPERIENCE Do you have previous experience with Hockey Canada’s programs at any level (e.g., U-17, U-18,U-20) or Branch Level Experience (U16 Branch Events, WHL’s Western Canada U16 Challenge Cup, QMJHL Gatorade Excellence Challenge, Canada Winter Games)? Check One: Yes No If yes, please indicate the following information: year involved, which team, your position/role, and record or achievements:
Please provide additional experience if applicable (i.e., additional education, international tournaments, other sport activities indicating positions held, length of experience, locations, etc.). Also, you are welcome to attach to this application a full resume and other related documents:
Both pages of the application must be received by email, courier or fax on or before Monday, March 20, 2017 Please send applications to Benoit Roy, Coordinator, Hockey Operations, using the information listed below: Hockey Canada Attention: Benoit Roy Suite 201, 151 Canada Olympic Road SW Calgary, Alberta T3B 6B7 [email protected] Fax: (403) 777-3635
Harrassment and Abuse Policy Hockey Canada has adopted policies against harassment and abuse in hockey and is dedicated to ensuring that these policies are strictly followed by our Program of Excellence staff. It is the policy of Hockey Canada that anyone applying for any Hockey Canada Program of Excellence coaching or support staff position is subject to a screening process. Applicants, prior to being offered a position must agree to and complete a Criminal Record Check and Vulnerable Persons Check administered through Sterling Backcheck on behalf of Hockey Canada. It is the policy of Hockey Canada that all information received will be held in strictest confidence. The process for the forwarding of information will be disclosed to any successful candidate upon being offered a position with Hockey Canada.
SUBMIT VIA EMAIL
2 of 2
Hockey Canada National Team Experience Support Staff
Name: ______________________________________________ Date of Birth: _____________________ (dd / mm / yr. ) Mailing Address: Home Work ________________________ (Street Name)
____________________ _____________ (City) (Province)
_____________ (Postal Code)
Telephone: ______________________ ______________________ ______________________ (Home) (Business) (Cell) Email Address: ________________________________________________ Languages spoken:
English
French
Both
YOUR CURRENT HOCKEY EMPLOYMENT: YOUR PREVIOUS HOCKEY EMPLOYMENT: Team: ______________________________________ Team: ______________________________________ League: ____________________________________ League: ____________________________________ Position: ___________________________________ Position: ___________________________________ Years in Current Position: ______________________ Years in Previous Position: ______________________
POSITION APPLICATION I would like to submit this application for consideration as an (please check ONLY ONE): Equipment Manager Athletic Therapist In order to participate in the 2016 National Under-17 Development Camp you
must be a certified athletic therapist. Please provide your CATA (Canadian Athletic Therapists Association) number:
Under–17 Program The Under-17 program consists of a National Development Camp in July and an international competition (World Under-17 Hockey Challenge) with three Canadian teams and five international teams in November. The top 66 players in Canada will be drafted onto three teams for the World Under-17 Hockey Challenge.
Timelines and commitments for successful U17 candidates (Note: Dates and locations subject to change) Month
June / July July 21-28
Location
N/A Calgary
Event
Various Conference Calls Development Camp
EXPERIENCE Please indicate the following information relating to your experience: year, team, position, special, championships, other achievements or awards:
HOCKEY CANADA or BRANCH EXPERIENCE Do you have previous experience with Hockey Canada’s programs at any level (e.g., U-17, U-18,U-20) or Branch Level Experience (U16 Branch Events, WHL’s Western Canada U16 Challenge Cup, QMJHL Gatorade Excellence Challenge, Canada Winter Games)? Check One: Yes No If yes, please indicate the following information: year involved, which team, your position/role, and record or achievements:
Please provide additional experience if applicable (i.e., additional education, international tournaments, other sport activities indicating positions held, length of experience, locations, etc.). Also, you are welcome to attach to this application a full resume and other related documents:
Both pages of the application must be received by email, courier or fax on or before Monday, March 20, 2017 Please send applications to Benoit Roy, Coordinator, Hockey Operations, using the information listed below: Hockey Canada Attention: Benoit Roy Suite 201, 151 Canada Olympic Road SW Calgary, Alberta T3B 6B7 [email protected] Fax: (403) 777-3635
Harrassment and Abuse Policy Hockey Canada has adopted policies against harassment and abuse in hockey and is dedicated to ensuring that these policies are strictly followed by our Program of Excellence staff. It is the policy of Hockey Canada that anyone applying for any Hockey Canada Program of Excellence coaching or support staff position is subject to a screening process. Applicants, prior to being offered a position must agree to and complete a Criminal Record Check and Vulnerable Persons Check administered through Sterling Backcheck on behalf of Hockey Canada. It is the policy of Hockey Canada that all information received will be held in strictest confidence. The process for the forwarding of information will be disclosed to any successful candidate upon being offered a position with Hockey Canada.
SUBMIT VIA EMAIL
2 of 2
