Referee Course Application

HBA BEGINNER REFEREE COURSE APPLICATION
Please fill out the following form to apply for the next Hawthorn Basketball referee beginner course.
You will be required to run on court each week of term 4 in one of the allocated times you choose below.
You will also be required to attend the group interview at 7pm - 9pm on Sunday 18th September at Xavier College.
If accepted, you also need to attend the following theory sessions while also running on court:
SESSION 1: 5pm – 7pm Sunday 2nd October
SESSION 2: 5pm – 7pm Sunday 9th October
SESSION 3: 5pm – 7pm Sunday 16th October
SESSION 4: 5pm – 7pm Sunday 23rd October
Full Name*
First NameLast Name
Date of Birth (must be over 14 years of age at the start of the course)*
DayMonthYear
Mobile Phone Number*
E-mail*
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Shirt Size*
If you are over 18 years old, do you have a Working With Children's (WWC) Card? A free volunteer WWC is required for any trainee or referee over the age of 18 years
If yes, then please upload a photo of the front of your WWC here.
Weekly Training Time (you must be able to commit each week to this time - flexibility is granted to those who play in the competition)*
Available Not Available
Saturday Junior's 12.00pm - 3.00pm
Saturday Junior's 1.30pm - 4.30pm
Saturday Junior's 3.00pm - 6.00pm
Saturday Junior's 4.30pm - 7.30pm
Thursday Senior's 6.40pm - 9.10pm
What involvement have you had in basketball before? How long have you been involved? How will this experience help you as a referee?*
What skills do you have that will make you a good basketball referee?*
Other comments or considerations
*
I confirm that all information above is correct and I am available for the dates listed for the advertised referee school
Should be Empty:

	Available	Not Available
Saturday Junior's 12.00pm - 3.00pm
Saturday Junior's 1.30pm - 4.30pm
Saturday Junior's 3.00pm - 6.00pm
Saturday Junior's 4.30pm - 7.30pm
Thursday Senior's 6.40pm - 9.10pm