Referee Transfer Form
McKinnon Basketball Association
Personal Information
Full Name
*
First Name
Last Name
Gender
Please Select
Male
Female
Prefer not to say
Other
Date of Birth
*
-
Month
-
Day
Year
Date
Mobile Number
*
Format: (+61) 000-000-000.
E-mail
*
example@example.com
Working With Children Check Number
Required if over 18 years of age
Availability
We currently run competitions on Wednesday, Friday, Saturday, and Sunday. Please indicate which shifts you are regularly available for.
*
Wednesday Night
Friday Night
Saturday Morning
Saturday Afternoon
Sunday Morning
Sunday Afternoon
Experience
Previous/Current Home Association
*
Referee Level
*
Please Select
Trainee/Apprentice
C Grade
B Grade
A Grade
Level 1
Level 2
Level 3
Level 4
Level 5
Referee Coach Grade (if applicable)
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Please select the highest league in which you are actively officiating.
*
Domestic competition
VJBL (non-VC)
VJBL (VC)
Country Basketball League (CBL)
Big V
NBL1
NBL
Not currently officiating
Select Relevant Previous Refereeing Experience
*
Domestic competition
VJBL (non-VC)
VJBL (VC)
Country Basketball League (CBL)
Big V
NBL1
NBL
National Junior Classic
AGSV
MMBL
JCC
VSSC
Champions Cup
Hoop Time
Other
If you selected "other", please identify that league or competition below.
Other Information
Why are you seeking to transfer to the McKinnon Basketball Association?
*
Are there any other details or experiences you would like to share?
Submit
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