employment

*First name:
*Last name:
*Address line 1:
Address line 2:
*City
*State
*Postal Code:
*Home Phone:
Business Phone: Ext:
*Email:
Date of Birth : 
Your Availability :  (e.g.) July 1-August 31

 

Please describe your hockey playing experience and indicate any accomplishments and awards.
Please outline any prior hockey school or hockey instruction experience you may have.
Tell us about any relevant coaching experience you have.
Please list any hockey, coaching or instructional certificates you currently hold.
Please provide us with three personal references. Please include complete contact information for each reference, including name, address, telephone and email.
Please list any additional details about yourself that you would like to share with us. These could be special skills, achievements or other commendations.
In your own words, tell us why you would like to be a Northern Edge staff instructor.

Please review your input before you click the submit button and ensure that all fields have been completed and that all of the information is correct.