Interstate Officials Application

Select the Sport you are applying for*
AFL – Positions*
Do you want to list any other AFL positions?
- Yes
- No
AFL – Positions*
AFL – Positions*
Aquathlon – Position*
Baseball – Positions*
Do you want to list any other Baseball positions?*
- Yes
- No
Baseball – Positions*
Baseball – Positions*
Basketball – Positions*
Do you want to list any other Basketball positions?*
- Yes
- No
Basketball – Positions*
Basketball – Positions*
Cricket – Positions*
Do you want to list any other Cricket positions?*
- Yes
- No
Cricket – Positions*
Cricket – Positions*
Cross Country – Positions*
Do you want to list any other Cross Country positions?*
- Yes
- No
Cross Country – Positions*
Diving – Positions*
Do you want to list any other Diving positions?*
- Yes
- No
Diving – Positions*
Football – Positions*
Do you want to list any other Football positions?*
- Yes
- No
Football – Positions*
Football – Positions*
Golf – Positions*
Do you want to list any other Golf positions?*
- Yes
- No
Golf – Positions*
Golf – Positions*
Hockey – Positions*
Do you want to list any other Hockey positions?*
- Yes
- No
Hockey – Positions*
Hockey – Positions*
Netball – Positions*
Do you want to list any other Netball positions?*
- Yes
- No
Netball – Positions*
Netball – Positions*
Softball – Positions*
Do you want to list any other Softball positions?*
- Yes
- No
Softball – Positions*
Softball – Positions*
Swimming – Positions*
Do you want to list any other Swimming positions?*
- Yes
- No
Swimming – Positions*
Tennis – Positions*
Do you want to list any other Tennis positions?*
- Yes
- No
Tennis – Positions*
Tennis – Positions*
Touch Football- Positions*
Do you want to list any other Touch Football positions?*
- Yes
- No
Touch Football- Positions*
Touch Football- Positions*
Triathlon – Positions*
Do you want to list any other Triathlon positions?*
- Yes
- No
Triathlon – Positions*
Triathlon – Positions*
Volleyball – Positions*
Do you want to list any other Volleyball positions?*
- Yes
- No
Volleyball – Positions*
Volleyball – Positions*
Name*
First Last
Are you a Registered Teacher OR Currently Employed in a School?*
- Yes
- No
This includes all who are employed in a school.
Current School Name*

If you are a retired teacher or currently not employed in a school put retired or your current place of employment.
School Address*
Street Address City ZIP / Postal Code
School Phone
History – Please complete information for the past 5 years*
School Role Years at this school
Current Employer*
Do you have a Working With Children Check?*
- Yes
- No
Working With Children Check Expiry Date*
Home Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Work Email*
Personal Email
Mobile Phone*
Do you have coaching qualifications relevant to the position?
- Yes
- No
Coaching Qualification*
Outline your experience, skills and attributes relevant to the position*
List any previous SSWA experience &/or knowledge of SSWA programs*
Supply any additional information to support your application
Referee 1*
Name Position Phone Email
Referee 2*
Name Position Phone Email
School Principal Permission*
- I understand it is my responsibility to gain approval from my school principal to participate in the SSWA program as an Interstate Official
Upload Relevant Coaching Qualifications (if applicable)
Accepted file types: jpeg, jpg, pdf, doc, docx, Max. file size: 10 MB.
How did you hear about this position?*
Other (please specify)*

Interstate Officials Application Acknowledgement

By applying for an Interstate Team Official position, I am committing to the following:

Attend all trials and training sessions in the lead up to the National Championship.
Attend Meetings and Functions:
- Official’s Induction
- Pre and Post Event meetings
- Parent Information Night
- Team Presentation Ceremony
- End of year SSWA Presentation Function

Be in attendance for the duration of the Championship.
(from Pre- Event Meeting to Closing Ceremony)

Interstate Officials Application

Contact us

phone

(08) 6318 5711

ADDRESS

TUART COLLEGE - 105 BANKSIA STREET, TUART HILL WA 6060

(ROOM A3 - HODGSON STREET ENTRANCE)

E-mail

[email protected]

Interstate Officials Application Acknowledgement

By applying for an Interstate Team Official position, I am committing to the following:

Your submission of the application, acknowledges and confirms your understanding of the responsibilities and requirements of the position.

School	Role	Years at this school