Sports Institute Registration Form

Sports Institute Registration

Please complete the form below to sign up with our team today! ADELAIDE, BRISBANE, MELBOURNE, PERTH, SYDNEY
Personal Details
Name*

First NameLast Name
Phone Number*
E-mail*
Date of Birth*

DayMonthYear
Date
Gender*
Home Address (You must include your suburb) *
EXAMPLE: 339 North Road, Caulfield South VIC 3162
Please select which state you are seeking employment:*

AdelaideBrisbaneMelbournePerthSydney
Form of Transport*

CarBike / Motor BikePublic Transport
Emergency Contact Details
Emergency Contact (Full Name)*
Emergency Contact Phone Number*
Working with Children Check

As per the Department of Education and Training, staff engaged in Child related work must hold a valid Working with Children Check
Volunteer Card: Umpiring / Refereeing (FREE)

Employee Card: Coaching ($128.20)

Blue Card: This is the equivilent of a Working with Children Check in Queensland

APPLY HERE: https://www.service.vic.gov.au/find-services/work-and-volunteering/working-with-children-check
Do you hold a current Working with Children Check or Blue Card?*

YesI'm currently under the age of 18I'm currently in the process of applying for one
Working with Children Check Number / Blue Card
3063968A-01
Working with Children Check/ Blue Card Expiry Date

DayMonthYear
Date
Legal name displayed on card
Please select your preference of Work

FIRST AID OFFICER IS UNDER 'COACHING'
Please select which of the following sport/s you wish to sign up for COACHING (Multiple selection available)

FIRST AID OFFICER,Aerobics,AFL,Athletics,Badminton,Baseball,Basketball,Cheerleading,Chess,Cricket,Cycling,Dance,Diving,Dodgeball,Fencing,Futsal,Golf,Gymnastics,Handball,Hockey,Indoor Cricket,Kayaking,Lacrosse,Lawn Bowls,Martial Arts,Netball,OZtag,Personal Trainer,Rowing,Rugby,Snow Sports,Soccer,Softball,Squash,Swimming,Table Tennis,Tennis,Taekwondo,Touch Rugby,Ultimate Frisbee,Volleyball,Water Polo,Zumba,
Please select which of the following sport/s you wish to sign up for UMPIRING (Multiple selection available)

AFL,Athletics Official,Badminton,Baseball,Basketball,Cricket,Futsal,Handball,Hockey,Indoor Cricket,Lacrosse,Netball,Oztag,Rugby,Soccer,Softball,Swimming,Table Tennis,Tennis,Touch Rugby,Volleyball,Water Polo,
Please provide us with your sporting experience:

Please note that providing as much detail as possible is crucial. This will give you the best opportunity to secure more work and advance further in your sporting career!
Please detail your coaching/playing experience (If Applicable):
E.g. 2018 - Current Head Netball Coach at Elwood Netball Club
Please detail any formal coaching accreditation you have:
E.g. AFL Level 2 Coaching Accreditation
Please detail your umpiring/ refereeing experience (If Applicable):
E.g. EDFL Senior AFL Boundary Umpire 2016 - Current
Please detail any formal umpiring accreditation you have:
E.g. Level 4 FFV Soccer Referee Accreditation
Please detail your First Aid experience (If Applicable):
E.g. First Aid Officer: Third year Paramedicine student, Advanced First Aid cert, Advanced CPR & Oxygen Therapy
Please detail any formal First Aid accreditation you have:
E.g. HTLAID011 First Aid Qualification
Reference Check

Please supply one reference check
Reference 1*

First NameLast Name
Reference 1 Phone Number*
Please enter a valid phone number.
Relationship*
Child Safety
To proceed with your onboarding, all staff are required to complete our Chid Safety Training by clicking on the link: Child Safety Module
Please upload a copy of your above Child Safety training certificate*

Cancelof
Read these Child Safety Policies and Procedures:
- Melbourne Sports Institute Child Safety Policy
- Melbourne Sports Institute Staff Code of Conduct Policy
I have read and understood the information above relating to Child Safety*

Powered by Jotform SignClear
Where did you hear about us?*

A Friend or ColleaugeGoogleIndeedSEEKClub / AssociationFacebookOtherUniversity
Once you submit your application, we will contact you shortly via email with further information. If your application is successful, you will also start to receive available coaching and umpiring positions via email.

Thank you!
Should be Empty:

Sports Institute Registration

Personal Details

Emergency Contact Details

Working with Children Check

Please select your preference of Work

Please provide us with your sporting experience:

Reference Check

Child Safety

To proceed with your onboarding, all staff are required to complete our Chid Safety Training by clicking on the link: Child Safety Module