Please provide all pertinent information for Head Coach applicant.
Example: ###-###-####
Example: [email protected]
Select one
All staff are required to have a valid police check on file. Police checks are valid for a period of three years. The Criminal Offence Declaration must be completed each year for every coach or staff member. The OWHA Screening Policy can be reviewed online at http://owha.pointstreaksites.com/files/uploaded_documents/3323/Final_-__Screening_Policy_-_Updated_September_2019.pdf
Check one:
Type NONE if no convictions. You must provide full details if any convictions.
Type NONE if no convictions. You must provide full details for any convictions.
Check All That Apply
**Please note: All WGHA staff will be required to enter their certification numbers into the RAMP registration.
Please include Centre / Age&Level / Year / Sport / Position
Please provide three character references, excluding relatives
Name / Address / Phone
Name / Addresss / Phone