NJC Coach Application Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Mobile PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhat are you interested in coaching?Program *Boys Tier 1Boys Tier 2Girls Tier 1Girls Tier 2ADMAge Group - Boys Tier 118U16U15P14U12U10UAge Group - Boys Tier 218U16U14U12U10U08UAge Group - Girls Tier 119U16U14U12U10UAge Group - Girls Tier 219U16U14U12U10U08UCoaching position and credentialsPosition Interest *Head CoachAssistant CoachSkills InstructorGoalie InstructorVolunteer AssistantUSA Hockey CEP #USA Hockey CertificationLevel 1Level 2Level 3Level 4Level 5CEP Expiration DateUSA Hockey Goaltender CertificationBronzeSilverGoldCompleted Modules8U10U/12U13+Continuing Education Classes & CreditsCoaching/Playing ExperienceCoaching Philosophy *Please briefly summarize your coaching values and background.Upload Resume Drag & Drop Files, Choose Files to Upload Please submit a resume for review with your application.Hockey coaching experience *RecreationYouth TravelHigh SchoolCollegeProfessionalOtherHockey playing experience *RecreationYouth TravelHigh SchoolCollegeProfessionalOtherPlease list any coaching/playing experience outside of hockey *If your submission fails reCAPTCHA, please upload resume again and submit. Thank you for your interest in joining the coaching staff!Submit
