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2024 Softball Queensland Masters Umpire Application Form
All umpires are required to complete the following form, whether they are an accredited umpire or non-accredited team umpire.
Closing date: 7 July 2024
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Current Umpire Level?
*
Choose
Not accredited
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Address
*
Your answer
Postcode
*
Your answer
Email Address
*
Your answer
Mobile Phone Number (for TCU contact)
*
Your answer
What is the name of your team you are umpiring for?
*
Note: You may only umpire for one team
Your answer
Please describe your travel arrangements
*
Own transport. Available full time
Name of person/Team you are travelling with
Other:
Required
I am available to umpire from the first scheduled game to the last scheduled game?
*
Yes
No
Conditions of Application
It is recommended that umpires nominating for the SQ Masters, that do not have a current umpire accreditation level, you can sit the SAL Basic Rules Assessment by clicking on the link below:
*
https://www.classmarker.com/online-test/start/?quiz=g7x6040931c451df
I have read, acknowledged, and accept the conditions as stated above.
It is recommended, but not mandatory for all umpires to have completed Play by the Rules courses delivered by Sport Integrity Australia and Play by the Rules (1.PBTR Child Protection and Safeguarding and 2. Harassment and Discrimination modules).
*
The website is available from this link:
https://elearning.sportintegrity.gov.au/blocks/androgogic_catalogue/index.php?c1=Courses
I have completed Child Protection and Safeguarding
I have completed Harassment and Discrimination
I acknowledge that I will not be appointed unless I have provided a copy of the Certificates to the State Director Alan Wlash
awals16@live.com.au
Required
What is your date of birth?
*
MM
/
DD
/
YYYY
It is mandatory for all umpires who are 18 years or older to hold a current blue card?
Blue Card Number
Your answer
Blue Card Expiry Date
*
MM
/
DD
/
YYYY
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