NETBALL WA HIGH PERFORMANCE UMPIRE PANEL NOMINATION NOMINEES DETAILS NAME ADDRESS POSTCODE MOBILE EMAIL NOMINEES ACCREDITATION BADGE MY NUMBER CURRENT % NOTE: mark must OR be 90% or above SECTION 1 EXAM SECTION 2 EXAM PASS MARK (Online) RULES IN ACTION Completed LEVEL II UMPIRES Completed Date: COURSE Date: GENERAL ASADA LVL 1 Completed COACHING Completed (ONLINE PRINCIPLES -AUS COURSE) Pending * by 30 Jan SPORTS Pending *prior to WANL 2016 2016 COMMISSION season NA PRESENTERS Completed (ONLINE COURSE COURSE) Pending *depends on when course is run Note: The Panel Chairperson will be appointed by Netball (NWA) Chief Executive Officer (CEO). Other panel members will be appointed by the NWA CEO, NWA General Manager West Coast – Fever & High Performance and the NWA appointed Chairperson PLEASE LIST BRIEFLY PLEASE LIST INFORMATION IN SUPPORT OF THE (OR ATTACH PROFILE) Please forward Shane Sullivan | GM - West Coast Fever and High Performance nominations and Netball WA, PO Box 930, Subiaco WA 6904 signed agreement Mobile: +61 412 276 598 | Office: +61 8 9380 3737 | Fax: +61 8 9380 3799 | (page 5) to shane.sullivan@netballwa.com.au Closing date 12PM on Monday 19 October 2015
NOMINEES DETAILS NAME ADDRESS POSTCODE MOBILE EMAIL NOMINEES ACCREDITATION BADGE MY NETBALL NUMBER CURRENT SECTION 1 EXAM PASS (Online) % NOTE: mark must be 90% or above OR SECTION 2 EXAM MARK RULES IN ACTION Completed Date: LEVEL II UMPIRES COURSE Completed Date: GENERAL COACHING PRINCIPLES -AUS SPORTS COMMISSION (ONLINE COURSE) Completed Pending *prior to WANL 2016 season ASADA LVL 1 (ONLINE COURSE) Completed Pending * by 30 Jan 2016 NA PRESENTERS COURSE Completed Pending *depends on when course is run Note: The Panel Chairperson will be appointed by Netball WA (NWA) Chief Executive Officer (CEO). Other panel members will be appointed by the NWA CEO, NWA General Manager – West Coast Fever & High Performance and the NWA appointed Chairperson PLEASE LIST BRIEFLY PLEASE LIST INFORMATION IN SUPPORT OF THE NOMINATION (OR ATTACH UMPIRE PROFILE) Please forward nominations and signed agreement (page 5) to Shane Sullivan | GM - West Coast Fever and High Performance Netball WA, PO Box 930, Subiaco WA 6904 Mobile: +61 412 276 598 | Office: +61 8 9380 3737 | Fax: +61 8 9380 3799 | shane.sullivan@netballwa.com.au Closing date 12PM on Monday 19 October 2015 HIGH PERFORMANCE PANEL
2016-NWA-PANEL-NOMINATION-AND-TERMS.docx