OFFICIALS PANEL (COMMITTEE)

MOTORCYCLING VICTORIA
OFFICIALS PANEL (COMMITTEE)
EXPRESSION OF INTEREST FORM
Management Committee appointments will be made in accordance with the MV Constitution.

Step 1: Complete the below form in full and complete the declaration.

Step 2: Submit this form before the closing date.

Step 3: Motorcycling Victoria will collate all Expressions of Interests for review, and selection by the Board of Directors

Step 4: Successful applicants are advised of the outcome of their Expression of Interest.
APPLICANT DETAILS

I wish to be considered for appointment to the MV Officials Panel
I,*
Date of Birth*

MonthDayYear
Date
Working with Children Check Number*
Gender

MaleFemaleOther
Of

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
1. What type of experience do you have in the sport? (Please select relevant)

RiderClub CommitteeCoachVolunteerLicenced OfficialOther
2.What Discipline(s) are you involved in? (Please select relevant)

Moto CrossSpeedwayRoad RaceDirt TrackSuper CrossClassic Dirt TrackHistoric Road RaceEnduroClassic Moto CrossTrialsSuper MotoQuads
3. Provide a brief statement on your Experience in the sport
4. Motorcycling Victoria have the following objectives for the Volunteer Program in 2021-22, please prioritise these objectives (1 being most important)
Provide a brief statement for how you can support this program.
APPLICANT DECLARATION
Working with Children Check

MV Management Committee Governance Policy
Applicant Declaration (Please tick to confirm you agree to all of the following when submitting your application)
Signature

Clear
Date

MonthDayYear
Date
THE CONTROLLING BODY OF MOTORCYCLE SPORT IN VICTORIA
Should be Empty:

MOTORCYCLING VICTORIA

OFFICIALS PANEL (COMMITTEE)

EXPRESSION OF INTEREST FORM

APPLICANT DETAILS

APPLICANT DECLARATION

THE CONTROLLING BODY OF MOTORCYCLE SPORT IN VICTORIA