ALLIANCE Hockey Officiating Program - Officials Transfer Form (Minor Hockey Alliance of Ontario)

Personal Information

Officials Name:^*

Required

HCR #:^*

Required

Date of Birth:^*

Required

Email Address:^*

Required

Example: [email protected]. Your submission will be sent to this address.

Cell #:

Home #:

New Address

Type of Move:^*

ResidentialCollege/University

Check All That Apply

Address:^*

Required

City:^*

Required

Postal Code:^*

Required

Date of Occupancy at New Address:^*

Required

Mailing Address the same as above?^*

YesNo

Check All That Apply

If No, please provide

Former Address

Address:^*

Required

City:^*

Required

Postal Code:^*

Required

Certification Information

Certification Level:^*

Required

Last Year Certified:^*

Required

Highest Level Officiated:^*

Required

U18 AAA - Referee or U18 AAA Linesperson

New Association/Group Information

Former Association/Group Information

Member Partner:^*

Required

Association/Group Name:^*

Required

Contact Name:^*

Required

Referee-In-Chief or President Name

Email Address:^*

Required

Reference Letter:

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx.
Maximum # Files: 1. Maximum File Size: 4MB.

Please provide a reference letter for your former officiating association/group that indicates you were in good standing and the levels of hockey you were working.

Supporting Documents

Please provide supporting document(s) to confirm your residential move.

Driver's Licences

Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Please provide a copy of your Driver's Licences as a supporting document.