Hockey Alberta Volunteer Application Form

First Name: *

Last Name: *

Address: *

City/Town: *

Postal Code: *

Home Phone: * () - -

Cell Phone: * () - -

Email Address: *

Apparel Sizing: *

Minor Hockey Committee Delegate: Check all that apply: Minor Discipline Coordinator
Minor Regulation Coordinator
Minor Admin Coordinator

Female Hockey Committee Delegate: Check all that apply: Female ADM Coordinator
Minor Female Coordinator

Elite Male Hockey Committee: Check all that apply: North Representative
South Representative
U18 AAA League Governor
U16 AAA League Governor
U15 AAA League Governor

Please check if you agree with the following: * I acknowledge that I will be subject to screening under the organization’s Criminal Records Check and Conflict of Interest policies.

Please check if you agree with the following: * I have regular access to a computer and high-speed Internet.

Please check if you agree with the following: * I understand the roles, qualifications and requirements of the position(s) for which I have applied.

Please check if you agree with the following: * I am familiar with and support the purpose, vision/mission, core values and Bylaws/Regulations of Hockey Alberta.

1. Role, Year(s), Brief Summary of Role and Accomplishments: *

2. Role, Year(s), Brief Summary of Role and Accomplishments:

3. Role, Year(s), Brief Summary of Role and Accomplishments:

4. Role, Year(s), Brief Summary of Role and Accomplishments:

5. Role, Year(s), Brief Summary of Role and Accomplishments:

6. Role, Year(s), Brief Summary of Role and Accomplishments:

7. Role, Year(s), Brief Summary of Role and Accomplishments:

8. Role, Year(s), Brief Summary of Role and Accomplishments:

Have you completed a Criminal Record Check for another organization?: *

If Yes, please upload a copy of the results (PDF or JPG file):

Safety - General

Prospects Cup

U16

2019

2018

2017

2016

2015

2013

2012

Alberta Challenge

U18

2020

2019

2018

2017

2016

2020

2018

2016

2014

2018

2019

2015

2011

EKEC Speaker Series

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