Preferred Provider EOI Form
SportWest are inviting mediators and investigators to express their interest in being part of the True Sport Dispute Resolution Initiative as preferred providers for State Sporting Associations. Please complete the below form to submit your interest.
Full Name
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First Name
Last Name
Position & Organisation
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Government-Issued Identification
*
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e.g. drivers licence, passport
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Qualification/Accreditiation documents
*
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Insurance Information
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Please upload a copy of any insurance you may have.
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National Police Clearance
*
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Please upload a copy of your police clearance.
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Working with Children Check
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Please upload a copy of your WWCC card.
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Please describe any conflicts of interest you may have
*
Any involvement you have via voluntary, employee or member roles in any sporting association/club in WA.
Please provide an overview of your fee structure, including the rates that would apply to the services offered
*
Please add any further information or experience that you think should be known
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