2017 Coaching Application Form (Tillsonburg Minor Baseball)

Print 2017 Coaching Application Form
Coaching Applicant Information
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Coaching Qualifications
The following courses are required for Rep coaches only. Refer to the OBA Certification Information under Coaches Corner on the website homepage for details.
  1. 7 digit number assigned by NCCP














  2. Check all that Apply. Refer to Rules Tab for OBA Coaching Certification details.
Coaching Experience
  1. Which team would you like to coach and at what level?
  2. Are you currently under probation or suspension from coaching duties within any school or community sport program?
  3. Have you ever been convicted of a criminal offence?
  4. Do you have criminal charges pending?
  5. If yes to any of the above 3 questions, please provide details.
References
Please provide the names and contact information for two references. Note that these individuals may be contacted for reference information on your coaching application.
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  1. USE OF EMAIL ID:

    The email id(s) provided above will be used for coach communication by TMBI throughout the baseball season.  Please notify the TMBI Registrar via the TMBI website (www.tmbi.ca) to have an email id removed from the coaches mail list.
  2. RELEASE AND DISCHARGE (please read carefully)

    I hereby give my permission that a Criminal Record Check be conducted on my prior to commencing any coaching activity with the TMBI organization. 

    I hereby certify that the information provided on this application is complete and correct.
Coaching Applicant Consent
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Human Validation
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Printed from tillsonburgminorbaseball.ca on Sunday, January 21, 2018 at 1:27 PM