Volleyball Australia 'Volleyslam'- Coolangatta
Referee/Officials Appointments - Expression of Interest, Closes 21 February 2023 @ 11:59pm
Full Name (As stated on your identification used to book tickets for flights)
First Name
Middle Name
Last Name
Preferred Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
-
Day
-
Month
Year
Date
Best contact number
-
Area Code
Phone Number
Parent/Guardian Name (Under 18 Only)
First Name
Last Name
Parent/Guardian Email Address (Under 18 Only)
example@example.com
Parent/Guardian Contact Number (Under 18 Only)
-
Area Code
Phone Number
Do you hold a current state membership?
Yes
No
Which state is your current membership?
Please Select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Level of Accreditation
Level 1
Level 2 Associate
Level 2 State
Level 3 Volleyball
Level 3 Beach Volleyball
Level 4 Volleyball
Level 4 Beach Volleyball
Preferred airport to fly from
Role(s) you are interested in (Please make sure you are available for the dates required)
Australian Beach Volleyball Tour, Coolangatta, 24-26 Mar, Referee Delegate
Australian Beach Volleyball Tour, Coolangatta, 24-26 Mar, Ass. Referee Delegate
Australian Beach Volleyball Tour, Coolangatta, 24-26 Mar, Referee
Australian Youth Beach Volleyball Championships, Coolangatta, 27 - 30 Mar, Referee Delegate
Australian Youth Beach Volleyball Championships, Coolangatta, 27 - 30 Mar, Ass. Referee Delegate
Volleyball World Beach Pro Tour (Futures), Coolangatta, 29 Mar - 2 Apr, Referee Coach
Volleyball World Beach Pro Tour (Futures), Coolangatta, 29 Mar - 2 Apr, Referee
Volleyball World Beach Pro Tour (Futures), Coolangatta, 29 Mar - 2 Apr, Auxiliary Official (Line Judge/Scorer)
Australian Beach Volleyball Schools Cup, Coolangatta, 31 Mar - 2 Apr, Referee Delegate
Australian Beach Volleyball Schools Cup, Coolangatta, 31 Mar - 2 Apr, Ass. Referee Delegate
Australian Beach Volleyball Schools Cup, Coolangatta, 31 Mar - 2 Apr, Referee
What do you believe you can bring to the event to support the development of other referees?
How would this role fit within your officiating pathway?
Outline how your officiating activities over the last 4 years demonstrate your capacity to be successful in the role you are applying for?
Would you please tell us about your professional experience, competencies, and qualification in relation to working with Children?
What boundaries are important when working with children?
Have you ever had any disciplinary action taken against you in relation to working with children?
Do you have a Working with Children Check or equivalent?
Yes- I will upload now
No- I will apply for one and send confirmation to Volleyball Australia
Please upload your Working with Children Check File or Take Photo.
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Please provide name and contact details (email and phone) for 2 people we can contact for a reference check
1st Reference
Name
Email
Phone Number
2nd Reference
Name
Email
Phone Number
Submit
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