House League CONVENORS Application Form (Northumberland Minor Hockey)

House League CONVENORS Application Form

Thank you for applying for a Convenor's position for the Northumberland Nighthawks, House League Divisions (U5 - U18). Please use this form to submit your application. Interviews will be conducted on an as-needed basis.

Contact Information

First Name^*

Required

Last Name^*

Required

Street Address^*

Required

Town^*

Required

Postal Code^*

Required

Date of Birth^*

Required

Email Address^*

Required

A copy of this application will be sent to this address.

Phone^*

Required

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

Division

HCR Number (if applicable)

If you have one, please provide your Hockey Canada Registry Number, for the purpose or verifying your credentials.

Convenor Experience

If you have been a Convenor before, please tell us when and what divisions you were responsible for. As well, summarize for us what you consider the role of a Convenor to be?

I, the undersigned, will accept any decision of the NMHA for my failure to abide by the NMHA Policies and By-Laws (both available on the NMHA website) which may include suspension or removal from the coach position. I acknowledge that I may be removed from any coaching position assigned by the NMHA at any time at the sole discretion of the NMHA. I agree that the decisions of the Coach Selection Committee are final and I hold the Committee, NMHA and/or any other governing body harmless for the decision.

I hereby certify that the above information to be true and correct.^*

House League CONVENORS Application Form (Northumberland Minor Hockey)

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Contact Information

Division

Convenor Experience

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