Ontario Soccer Grassroots Diploma Registration Form

Ontario Soccer Grassroots Diploma Registration Form

Please complete the form below to process your registration
Overview: The Ontario Soccer Grassroots Diploma supports the coach in the grassroots and competitive environments.

Target Coach: The Grassroots Diploma is a requirement for U13 OPDL Assistant Coaches, IModel Head Coaches, Ontario Cup Head Coaches and recommedned for all Regional Head Coaches. Regardless, it is open to all coaches looking to advance their careers and understanding of the game. Please refer to each league’s rules & regulations for up-to-date information on Coach Licensing Requirements.

Course Duration: 35 hours

Learning Environment:
- 2 days, In-person (On-field)
- Independent Online Learning (asynchronous)
- Collaborative Online Learning (synchronous)
- Assessment of Understanding
Click 'Next' to begin your application.

Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
example@example.com - cannot be a work or club-related email address
NCCP #*
Required to verify your Locker Transcript
SEOS #*
Required to verify your Locker Transcript
Are you currently working with a soccer club at this time? If yes, list organization.*
Club refers to both not-for-profit and for-profit organizations. If none, put N/A
League level*
If none, put N/A
Age Group*
If none, put N/A

Course Information
First Preference

HamiltonSt. CatherinesPeel Halton SASoutheastern Ontario SA
Second Preference

Thunder BaySt. CatherinesPeel Halton SASoutheastern Ontario SA

Applicant Documentation
Upload a copy of your most recent Curriculum Vitae (CV)*

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Letter of Support from Club Technical Lead*

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Pre-requisities:
- Learn to Train or Soccer for Life (Trained)
- NCCP Make Ethical Decision (MED) Workshop
- NCCP Make Ethical Decisions (MED) Online Evaluation
- Respect in Sport for Activity Leaders (Soccer)
- NCCP Making Head Way in Sport (Soccer)
- NCCP Emergency Action Plan
- NCCP Understanding the Rule of Two
Upload a copy of your NCCP Transcript*

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Additional pre-requisites not represented in NCCP Transcript

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Acknowledgement*

By checking this box you confirm reviewing and agreeing to abide by the policies outlined in the Ontario Soccer Coach Education policy guide.
Coach Education Policy Guide

Click here to review the Ontario Soccer Coach Education policy guide.
Acknowledgement*

By checking this box and in completing this application, you provide permission to Ontario Soccer and its staff to contact you and, if required, your club/organization regarding your registration on the Ontario Soccer Grassroots Diploma. You also confirm that the information included in this form is true and correct to the best of your knowledge.
Should be Empty:

Applicant Information