Umpire Application
First Name: *
Last Name: *
Email Address: *
Mobile: *
Work Phone: *
Home Phone: *
Address: *
Suburb: *
Postcode: *
Age: *
Date of Birth:
Are you a current University student?
Are you currently employed?
Types of employment
The questions below are to help us understand what information you may already know about the netball sport before we do a phone interview.
Are you a nationally badged umpire?: *
Have you played netball?: *
What age did you begin playing the sport?:
How many playing years throughout your life have you played?: Describe
When have you played netball?: eg: childhood, currently (describe)
Where have you played netball?: Describe
Have you ever umpired a game of netball before?: *
Describe a brief history of your roles in the sport, both as a player and umpire:
Have you ever seen a rule book?: *
Do you own a rule book?: *
What Years?:
What type of games have you umpired?: eg: primary school, secondary school, private business, Netball Victoria association etc.
How many games a week?: Describe
Have you sat a theory exam?: *
What year did you sit your theory exam?:
What was your resulting mark?:
Are you a nationally badged umpire?: *
What year were you badged?:
Have you seen a proper game of netball from an ‘A’ grade netball victoria association team, a Melbourne State Team, The Australian International Team?: * Describe
Have you attended a level 1 course?:
Have you attended a level 2 course?:
Have you controlled a game of netball on your own?:
Have you seen a game of mixed netball?: *
Have you ever umpired a game of mixed netball?:
Have you ever sent a player off the court?:
Are you a current member of Netball Victoria?: *
Are you currently playing in a team within our Melbourne Netball company?: *
If yes, Team Name:
We operate on a Monday, Tuesday, Wednesday, Thursday only. Which nights are you available for training?: *
How many nights are you available for training?: *
Do you have a car?: *
* indicates mandatory field
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