2022 Grassports Junior State Championships - Technical Official Availability

2023 Grassports Junior State Championships - Technical Official Availability
In 2023 the Grassports Junior State Championships will have a slight change of age groups, to Under 12 (Hockey 5s), Under 14, Under 16 and Under 18.

The Event will run as follows:
- Under 14 & Under 16 - 29th June to 2nd July at MSC Parkville & Footscray
- Under 12 (Hockey 5s) - 1st & 2nd July at either Footscray or MSC Parkville
- Under 18s - Friday 22nd September to Sunday 24th September
All Technical Officials will receive a gratuity payment of $15 per match that they officiate.
PLEASE READ THE INFORMATION BELOW BEFORE COMPLETING THIS FORM
This form is to express interest in being a TECHNICAL OFFICIAL at the JSC.

If you have come to the wrong form, below are the links to the other Officiating Expression of Interest forms. Please note that the links are all different, so please be careful to complete the correct form.

Tournament Directors & Assistant Tournament Director - https://form.jotform.com/hockeyvictoria/2023-outdoor-events-TD-ATD

Umpire Manager, Assistant Umpire Manager or Umpire Coach - https://form.jotform.com/hockeyvictoria/2023-outdoor-events-UM-AUM

Umpires - https://form.jotform.com/hockeyvictoria/2023-outdoor-events-UMPIRES
Personal Details
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Club/Association
You will require a vaild WWCC or exemption to TO at the JSC.

Please check you have added Hockey Victoria as an organisation you work with here: http://www.workingwithchildren.vic.gov.au/home/cardholders/update+your+details/

Hockey Victoria Inc.

Postal Address: P.O. Box 32 Parkville VIC 3052

Phone: (03) 9448 2100
WWCC Number or VIT exemption
WWCC Expiry

DayMonthYear
WWWC Declaration*

I acknowledge I have updated my WWCC online to list Hockey Victoria as an organisation I work with or I am exempt from the WWCC
Experience & Accreditation

Please answer the below questions to assist us in your development as a TO throughout the championship:

	Yes	No	Unsure
I have been a TO at the JSC before
I am confident using the AltiusRT system
I am confident in my ability to TO a game on my own
I would like assistance/mentoring on my first game prior to TOing on my own

Please select your current TO accreditation:
Are you interested in completing a practical assessment at the JSC?

YesNo
Availability
Fixtures of the JSC will be released in late May. When it is released it can be viewed here - https://www.hockeyvictoria.org.au/comps-events/jsc/
Select any other roles you may be performing at the JSC:*

NonePlayerCoachManagerUmpire or other OfficialOther
If you are fulfilling another role, which Zone, Age Group & Gender (s) are you involved in?
Please select the venue that you would prefer to officiate at.

Footscray Hockey CentreMelbourne Sports Centres ParkvilleEither of the above
Which dates are you available for at the Under 12/Under 14/Under 16 JSC (29th June to 2nd July)?

Thursday 29th JuneFriday 30th JuneSaturday 1st JulySunday 2nd JulyAll of the aboveI am not available for the JSC is June/July
Which dates are you available for at the Under 18 JSC (EITHER 22nd to 24th September OR 27th June to 29th September)?

22nd September23rd September24th SeptemberAll of the aboveI am not available for the U18 JSC in September
Do you have any medical conditions that we should be aware of? Is there anything we can do to assist you at the event?
Any other comments?
Should be Empty:

2023 Grassports Junior State Championships - Technical Official Availability

PLEASE READ THE INFORMATION BELOW BEFORE COMPLETING THIS FORM

Personal Details

Experience & Accreditation

Availability