2020 JSC Technical Official Availability

2021 Junior State Championships - Technical Official Availability
The 2021 Junior State Championships is scheduled to take place in regional Victoria in the Term 2 school holidays.

The event will run for 4 days from Thursday 1st July to Sunday 4th July. The venues that are being utilised are Bendigo Hockey Centre (all Girls age groups) and Shepparton Hockey Centre (all Boys age groups).

All Technical Officials will receive a gratuity payment of $15 per match and should they be available for 2 full days or more they will receive an additional $100 allowance to assist them in covering some of their costs.

They will be responsible for their own travel and accommodation. A voucher to be utilised at the venue canteen will be provided each day that they are officiating.

JSC Technical Official Expressions of Interest will close at 5.00pm on Wednesday 21st April.
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/2021-outdoor-events-TD-ATD

Umpire Manager, Assistant Umpire Manager or Umpire Coach - https://www.jotform.com/hockeyvictoria/2021-outdoor-events-UM-AUM

Umpires -https://www.jotform.com/hockeyvictoria/2021-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.

Bendigo Hockey Centre (all Girls age groups)Shepparton Hockey Centre (all Boys age groups)Either of the above
Which dates are you available for?

Thursday 1st JulyFriday 2nd JulySaturday 3rd JulySunday 4th JulyAll of the above
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:

2021 Junior State Championships - Technical Official Availability

PLEASE READ THE INFORMATION BELOW BEFORE COMPLETING THIS FORM

Personal Details

Experience & Accreditation

Availability