Staff Application | Arizona High School Hockey Association

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Staff Application

PURPOSE: The purpose of this form is to record information about a volunteer applying for various positions and roles within AHSHA.

ROUTING: This application is automatically routed to the president, vice president, director of coaching and league administrator.

COACHING INFO: Take a few seconds to get your Coaching number, level and year. Click here for a quick lookup.

USA HOCKEY REGISTRATION: If you are going to be on the ice or bench, you need to register. Click here for a quick registration or lookup. The registration will be reimbursed if you send the email and your mailing address to our Treasurer at tfdow@yahoo.com.

Please be considerate of the time of the staff. Send complete and correct information.

Coach/Manager/Faculty Application

Coaches need to register with www.usahockeyregistration.com prior to completing the application. Print your receipt and include the receipt number in this application. Managers who are certified and would like to be able to serve as a backup coach also need to include USA Hockey registration.

Please use Upper and lower case letters where appropriate as this data feeds directly into our files.

Please fully provide information as it requires additional resources to update the database for information that you have left out.

By submitting this information :

I hereby certify that all information provided in this application is true.

I understand that I will be submitted for a background check and give my full consent for AHSHA to submit my information to an agency to perform a background check.

I understand that my position may give me access to information about players and that this information, including address, email and phone numbers, shall not be shared with outside sources nor used in a manner contrary to the original intention of the League.

I understand that I am not to share passwords for online access with any other person.

This form will automatically be sent to the President, Vice President, Director of Coaching and League Administrator.

I would like to coach/manage/assist the following team - (feel free to indicate "any"). We understand that your volunteer time may be dependent upon the placement of your child. Select "unknown" if you are unsure of the player placement.

Select Level: *

Team Preference:*

Season*

Fall/Winter
Summer (Coached in the Fall)
Summer (Did not coach in the Fall)

Position Applying For:*

First Name*

Last Name*

Casual First Name:

Date of Birth (MM/DD/YYYY)*

Coaching Certification

Coaching Card No.:

Year of current Certification:

USA Hockey Receipt Number *Required for coach.:

Street Address*

City*

State*

Zip Code*

Primary Email Address*

Secondary Email Address

Home Phone*

Work Phone

Cell Phone

Publish this phone number*

Home Work Cell

Fax

Employer*

Summary of Experience*

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First time AHSHA Coach. Submit 2 references with phone number.

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(*) Mandatory field