Regina Minor Football

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Coaches Application

All fields below with an asterisk(*) are mandatory. You will be taken back to this form if you have not filled it out correctly. If this happens you'll need to browse for your resume again. If you cannot read the security code, hit the refresh button. The security code has 5 letters and/or numbers.

Your Name (*)

Please let us know your name, Coach!
Address (*)

Please enter your address, Coach!
City (*)

Please enter your city, Coach!
Postal Code (*)

Please enter a valid postal code.
Phone (Home) 306xxxXXXX

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Phone (Work) 306xxxXXXX

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Phone (cell) 306xxxXXXX (*)

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Your Email (*)

Please let us know your email address.
Coaching Certification Level (*)

Please enter the Coach Certification Level.
Year Obtained (*)

Please enter the year the certification was obtained, Numbers only.
Do you have your Safe Contact Certification? (*)

Please indicate is you reside in the area you are applying for!
Preferred Division (*)

Please choose one division that is preferred.
Preferred Area (*)

Please choose a preferred area!
Do you reside in the area you are applying for? (*)

Please indicate is you reside in the area you are applying for!
Do you have a child eligible to play in the division you are applying for? (*)

Please indicate if you have a child that is eligible to play in the division you are applying for.
I am applying for... (*)

Please choose whether you are applying for Head Coach or Assistant Coach.
Comments (If you are applying for HC you can protect up to 2 assistant coaches. These coaches MUST be listed on this form under comments. All coaches must have a current (within last 3 years) Criminal Record Check, and Safe Contact Certification

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Resume (<2MB,doc,docx,pdf)

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