OKM Coach Application
Code Of Conduct
Athlete Code of Conduct
Parent Code of Conduct
OKM Coach application
OKANAGAN MISSION SECONDARY COACH APPLICATION FORM
Okanagan Mission secondary coach application form
(for internal school use - this form should be completed for EVERY Community Coach)
Date of Birth
Phone Number (H)
Phone Number (B)
Cell Phone Number
1) NCCP Coaching Qualifications
Certification Level: Theory
Certification Level: Technical
2) Previous Coaching Experience:
Previous Coaching: School
Previous Coaching: Community
3) Coaching Philosophy:
4) Which sport(s) would you like to coach, and at what level?
5) Personal History:
5a) Are you currently under probation or suspension from coaching duties within any school or community sport program?
5b) Have you ever been convicted of a criminal offence?
5c) Do you have criminal charges pending?
If YES for 5 a), b) or c), please provide details
6a) Do you know of any medical condition that may hamper or affect your ability to carry out coaching activities?
6b) If yes for 6a), please provide details:
Please provide the names and contact information for three (3) references:
Please provide the names, Relationship, and phone number for three (3) COACHING references:
Please provide the names, Relationship, and phone number for three (3) PERSONAL references:
Permission to conduct a Criminal Record Check: Print
sign and return to school.
BC School Sports
SD #23 SPORTS
Athletic Director OKM
voice mail 250-870-5108 ext. 6633