2024 FV RAE & LATE MATURERS EXEMPTION FORM
NPL Club Official: The information supplied in this application is a fair and honest appraisal at the time of application.
Players Full Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Age Group Applying For
*
U16 - JBNPL
U15 - JBNPL
U14 - JBNPL
U17 - JGNPL
U15 - JGNPL
U13 - JGNPL
Players FFA ID Number
*
PLAYER DETAILS
Primary Position
*
#1 - Goalkeeper
#2 - Right Back
#3 - Right Centre Back
#4 - Left Centre Back
#5 - Left Back
#6 - Defensive Midfielder
#7 - Right Winger
#8 - Central Midfielder
#9 - Striker
#10 - Attacking Midfielder
#11 - Left Winger
Height
*
In Centimeters- as of submission date
Weight
*
In Kilograms- as of submission date
PREVIOUS PLAYING HISTORY
2023 Club
*
2023 Age Group
*
2022 Club
*
2022 Age Group
*
Did this player receive an RAE Exemption for 2022 or 2023
*
Yes
No
RAE & LATE MATURERS NPL EVALUATION TEMPLATE
Mentality of a Winner
The player show in every game willingness to win - Must be evaluated & reach a minimum of 4/5
Mentality of a Winner
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Mentality of a Winner Comments
*
Game Intelligence
The player shows a strong understanding of the games principles - Must be evaluated & reach a minimum of 4/5
Game Intelligence
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Game Intelligence Comments
*
Body and Ball Control
The player displays strong ball control under pressure and balanced movements - Must be evaluated & reach a minimum of 4/5
Body and Ball Control
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Body and Ball Control Comments
*
Explosiveness
The player displays quick physical attributes (Sprinting, Jumping and Agility)
Explosiveness
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Explosiveness Comments
*
Presence
The player is influential on the field taking responsibility and is an example/leader to other players
Presence
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Presence Comments
*
Emotional Stability
The player maintains focus & concentration after individual/team mistakes and coach/referee decisions. Shows fair play at all times.
Emotional Stability
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Emotional Stability Comments
*
Supporting Documents
Letter of Consent from Club Technical Director
*
Browse Files
Cancel
of
Letter of Consent Parent/Guardian
*
Browse Files
Cancel
of
Medical Professional Confirmation of Player Height & Weight
*
Browse Files
This file must contact a letter from a Medical Professional (i.e Doctor/Physio)
Cancel
of
Overall
Additional Comments/Recommendations
Club/Technical Director Recommendations/Comments
*
PARENT/GUARDIAN/EMERGENCY CONTACT DETAILS
Contact 1: Name
*
First Name
Last Name
Contact 1: Relationship to Player
*
Contact 1: Mobile Number
*
Contact 1: Primary Email
*
Contact 2: Name
First Name
Last Name
Contact 2: Relationship to Player
Contact 2: Mobile Number
Contact 2: Primary Email
example@example.com
ADDITIONAL INFORMATION
Is there any additional information FV Staff should be aware of that is not already covered in this form?
*
Example: Recent Injury/Medical Allergies etc
CLUB INFORMATION
Club Nominating Player for Relative Age Effect & Late Maturers Exemption
*
Technical Director (TD)
*
First Name
Last Name
TD Contact Email
*
example@example.com
DISPENSATION CONDITIONS
All requests are determined on an individual basis and must be approved by Football Victoria (FV) Technical Staff prior to participation. All decisions in relation to RAE/ Late Maturers Dispensation rules are final and at the discretion of the FV Technical Team and FV NPL Competitions Team. These decision are not appealable.
NPL Club Official: The information supplied in this application is a fair and honest appraisal at the time of application.
TD Signature
*
Submit
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