2022 MAG VMAGJA Assembly Application Form

2022 Victorian MAG Judges Assembly Application Form

The VMAGJA is a sub-committee of the MAG Technical Committee
Our sport needs you! Contribute to the organisation and success of Gymnastics in Victoria by applying for one of the Gymnastics Victoria Technical Committees.

Applications can be made by current registered Technical Members of the sport program or a Gymnastics Club representative that participates in the sport.

Applications must be seconded by two eligible persons from different clubs.

Please be aware that you will need to upload your signed endorsement this year to progress with your application. Emailed endorsements are not accepted.

For further information regarding the Technical Committee rules and for Job Descriptions, please see the GV Operational Committees Charter.
Applicant Details
Name *

First Name Last Name
Mobile Phone Number *
Contact E-mail *

Confirmation Email Key communication will be sent to this email address
Club (if applicable)
Select your club from the drop down list
Technical Membership ID Number (If applicable)
Consent *

I consent to Gymnastics Victoria, for the purpose of this application, seeking information about me from any source considered necessary and I consent to the disclosure to the GV CEO of any information sought. Any information gained is subject to the GV Privacy Policy
Committee Charter *

I have read and and understood the GV Operational Committee Charter and the position description of the role I am applying for.
Position Description *

I have read and and understood the position description of the role I am nominating for (Position descriptions are available from the MAG TC).
Volunteer Position *

I understand that the position i have applied for is a volunteer position.
Meeting Requirements *

I understand that there is a requirement to attend a minimum number of VMAGJA Meetings to maintain my position on the assembly.
Briefly outline why you would like to join the VMAGJA *
Briefly outline what experience you will bring to the VMAGJA *
As a TC member you are representing Gymnastics Victoria, what do you think are GV's values and how would you demonstrate them? *

Child Safe Behaviours

Please note: All Technical Committee and sub committee applications are reviewed by the GV CEO and undergo a Child Safe Screening Process. Any information regarding the above is only provided to the GV who will be in contact with the relevant person if required.
Working with Children Check or VIT Number *
All persons nominating for a position on Technical Committees will be required to have a current valid working with children check (WWCC) Number or VIT Number. Any persons without an approved check will not be permitted to be part of the Technical Committees. The applicant will bear any costs associated with the WWCC (There are no costs involved for volunteer WWCC)
WWCC/VIT Expiry Date

Day Month Year
Gymnastics Victoria’s (GV's) Child Safe Policy and Member Protection Policy are part of the organisation’s proactive and preventative approach to uphold our commitment to the safety, wellbeing, participation and empowerment of all children who access our activities, programs, services or facilities.

The Member Protection Policy and the new Child Safe Policy should be read in conjunction with each other. The Child Safe Policy outlines the Codes of Behaviour expected when dealing with children, whilst the Member Protection Policy outlines the general Codes of Ethics and Behaviour for specific cohorts within the sport. It also outlines the discipline by-law and appeals process.

Both policies apply to anyone involved in the sport of gymnastics in Australia including (but not limited to) employees, members, parents/guardians, spectators, volunteers, judges and other officials. For a comprehensive list of who is bound by these policies please refer to Section 1.3 of the Member Protection Policy and Section 3 of the Child Safe Policy.
GV encourages everyone to read and understand both policies in detail.

Please click here to read all Child Safe policies and Codes of Behaviour
Child Safe Screening *

I understand that it is a requirement to undergo Child Safe screening processes as part of Technical Sub Committee appointments and will need to complete any requirements prior to approval of my position (and also during my term) and my acceptance of my position is subject to successful completion of requirements
Member Protection Declaration

Gymnastics Victoria (GV) has a duty of care to all those associated with the sport of gymnastics at the state level and to the individuals and organisations to whom the Member Protection Policy (Policy) applies. As a requirement of the Policy, GV must inquire into the background of those who undertake any work, coaching or regular unsupervised contact with Children. All capitalised terms in this Member Protection Declaration have the same meaning as defined in the Policy.
In applying to be considered for the VMAGJA: *

I agree to the following I am unable to agree to the following and will be required to make a disclosure
1. I do not have any criminal charge pending before the courts.
2. I do not have any criminal convictions whatsoever including findings of guilt for Sexual Offences, offences related to Children or acts of violence.
3. I have not had:

a. any disciplinary proceedings brought against me by an employer, sporting organisation or similar body involving child abuse, sexual misconduct or Harassment, other forms of harassment or acts of violence; or
b. disciplinary proceedings brought against me by an employer, sporting organisation or similar body involving child abuse, sexual misconduct or harassment, other forms of Harassment or acts of violence and have attached to this declaration all information and documentation relating to the same (including without limitation correspondence from the relevant body imposing such disciplinary proceedings or measures) as applicable.

4. I am not currently serving a sanction for an anti-doping rule violation under an ASADA / Sport Integrity Australia (SIA) approved anti-doping policy applicable to me.
5. I will not participate in, facilitate or encourage any practice prohibited by the World Anti-Doping Agency Code or any other ASADA/SIA approved anti-doping policy applicable to me.
6. To my knowledge there is no other matter that GA/GV may consider to constitute a risk to its members, employees, volunteers, Participants or reputation by engaging me.
7. I will notify the CEO of the organisation(s) engaging me immediately upon becoming aware that any of the matters set out in paragraphs 1 to 6 above has changed.
8. I acknowledge that GV relies on my answers to the above questions being truthful and accurate. Any false or misleading answer I provide will constitute a breach of this Member Protection Policy.
Making a Disclosure

Upon review of the points in the above Member Protection Declaration, if you do not agree with this Declaration or are required to make a disclosure, please contact Cathy Lorenzin, GM Programs and Events at clorenzin@gymvic.org.au or on 03 9021 8487 to discuss further. Informing GV of any conduct contrary to the above points does not automatically make you unsuitable to begin or continue your application. GV will consider whether the disclosure impacts on your ability to perform the inherent requirements of your role, and/or whether the disclosure is such that it would be inappropriate for you to conduct parts of your role unsupervised. Once an assessment is made, you will be informed whether your application can proceed.

Endorsement

Please note: All Endorsements must be signed by the person writing them or they will not be accepted. All Endorsements must be uploaded and attached to this form.
The application has been seconded by:
Name (1st Person seconding application)
Club (if applicable)
Select your club from the drop down list
Endorsement has been: *

Letter of Endorsement has been uploaded with this form
Upload a letter of endorsement *
Name (2nd Person seconding application)
Club (if applicable)
Select your club from the drop down list
Endorsement has been: *

Letter of Endorsement has been uploaded with this form
Upload a letter of endorsement *
Should be Empty:

2022 Victorian MAG Judges Assembly Application Form

Applicant Details

Child Safe Behaviours

Member Protection Declaration

Making a Disclosure

Endorsement