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{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \s1\qc \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \f1\fs36\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b DYHA Coaching Application Form
\par }\pard\plain \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16 (Please print)}{\f1 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 Name__________________________________________________________________________________________________________
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 \tab  \tab \tab  Last                                                              First                                                                  MI
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All DYHA coaches are required to be fingerprinted and are subject to background checks.
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Please select the division(s) and level you are applying for.}{\f1\fs16 
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The Head Coaches chosen and approved by Hockey Operations will select all Assistant coaches. 
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___Squirt A  \tab  ___Peewee A  \tab  ___Bantam A \line 
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___Peewee B  \tab  ___Bantam B\line 
\par ___Squirt AA      ___Peewee Tier II     ___Bantam Tier II }{\b\f1\fs16  ___ 16 and under }{\b\f1\fs16 Midget A
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___}{\b\f1\fs16  17 \'bd and under }{\b\f1\fs16 Midget A}{\b\f1\fs16    ____ 17 \'bd and under Midget Tier II
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\par }\pard \qc \li0\ri0\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10\brsp80 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10\brsp80 \aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs16  ___Head Coach  \tab 
___Assistant Coach        ___Either}{\f1\fs16 
\par }{\b\f1\fs16 
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h Applications are due by April 15}{\b\f1\fs16\super th}{\b\f1\fs16  }{\b\f1\fs16\super of}{\b\f1\fs16  each year\line \line Travel B Coach Applications are due by November 15}{\b\f1\fs16\super th}{\b\f1\fs16  of each year
\par 
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\b\f1\fs16\ul MUST}{\b\f1\fs16  be educated to a minimum of:  USA Hockey Associate level (2)
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and Midget A  }{\b\f1\fs16\ul MUST}{\b\f1\fs16  be educated to a minimum of:  USA Hockey Intermediate level (3)\line Midget Tier I or II  MUST be Advanced level (4)
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\b\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs40 House:}{       ______Initiation        ___ Minimite         ___Mite          ___Squirt          ___PeeWee          ___Bantam           ___Midget
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\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16 
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\b\f1\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs16 
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House Coach Applications are due by July 30th \endash  Minimites due October 1}{\fs16\super st
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{\b\f1\fs16 
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\b\f1\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Minimite, Mite, Squirt and Peewee }{\ul MUST}{ be educated to a minimum of:}{\b0  }{ USA Hockey Intiation level (1) 
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{\b\f1\fs16 Peewee and Bantam }{\b\f1\fs16\ul MUST}{\b\f1\fs16  be educated to a minimum of:  USA Hockey }{\b Associate level (2)
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\par }\pard \qc \li0\ri0\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10\brsp80 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10\brsp80 \tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs16 
\par }{\b\f1\fs32 Spring Recreation:}{\b  ___Mite          ___Squirt          ___Peewee          ___Bantam  ____Midget}{\b\f1\fs16 
\par 
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Spring Coach Applications are due by April 1}{\b\f1\fs16\super st}{\b\f1\fs16   No coaching education level required for the 2003 season}{\f1\fs16 
\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 
\par Home Address____________________________________________________City____________________State______Zip___________
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\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 Employer________________________________________Home Phone________________________Work Phone___________________
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 E-mail address _______________________________________Birth Date___________________ Fingerprinted by DYHA? ____________
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\par 
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\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs8 
\par }\pard \ql \li0\ri0\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10\brsp80 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10\brsp80 \tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 Playing Experience:
\par 
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\par }\pard \ql \li0\ri0\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10\brsp80 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10\brsp80 \tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 
\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 
\par }\pard \ql \li0\ri0\widctlpar\tx1170\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 \'93
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if selected, falsified statements on this application sh
all be grounds for dismissal.  I also authorize investigation of all statements contained herein and release the association from all liability for any damage that may result from utilization of such information.\'94
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\par Signature_____________________________________________________Date_______________________
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\par }}