2025 Outdoor Events - Umpire Expression of Interest Form

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Thank you for taking the time to complete the 2025 Outdoor Events Umpire Expression of Interest Form.

Please note that this form is simply for Umpires to submit your expression of interest to umpire at the JCC, SCC, and/or the JSC. Once expressions of interest close Hockey Victoria (in conjunction with HV Officiating Committee) will allocate umpires to panels for each event.

Expressions of interest for the JCC & SCC will close at 5.00pm on Monday 31st March 2025 and Hockey Victoria will endeavour to inform all successful candidates of their appointments within a fortnight.

Expressions of interest for the JSC will close at 5.00pm on Wednesday 30th April 2025 and Hockey Victoria will endeavour to inform all successful candidates of their appointments within a fortnight.

PLEASE READ THE INFORMATION BELOW BEFORE COMPLETING THIS FORM

This form is to express interest in being an UMPIRE at one of HV's Outdoor Events.

If you have come to the wrong form, below are the links to the other Officiating Expression of Interest forms. Please note that the links are all different, so please be careful to complete the correct form.

Tournament Director & Assistant Tournament Director - https://www.hockeyvictoria.org.au/surveys/7174

Umpire Manager, Assistant Umpire Manager or Umpire Coach - https://www.hockeyvictoria.org.au/surveys/7180

Technical Official (JSC only) - https://www.hockeyvictoria.org.au/surveys/7170

First Name:*

Please enter your first name.

Last Name:*

Please enter your last name.

Date of Birth*

Please enter your date of birth.

Email:*

Please enter your main contact email.

Secondary Email:

Please enter a secondary email if relevant.

Phone Number:

Please enter your main contact number.

What club or association are you from?

Please enter in your affiliated club or association.

On Day contact number*

Please enter your on-the-day contact number.

Whose Number is this?*

Please indicate whose number is listed above.

Do you have any medical conditions that we should be aware of?*

Please list an medical conditions that we may need to be aware of.

Working With Children Check (WWCC)

If you are over 18 years of age, you will require a vaild WWCC or exemptions to fulfill any of these roles. Please check you have added Hockey Victoria as an organisation you work with here: http://www.workingwithchildren.vic.gov.au/home/cardholders/update+your+details/ Hockey Victoria Inc. Postal Address: P.O. Box 32 Parkville VIC 3052 Phone: (03) 9448 2100

WWCC Declaration - I acknowledge I have updated my WWCC online to list Hockey Victoria as an organisation I work with or I am exempt from the WWCC*

Yes

Junior Country Championships

The 2025 Junior Country Championships will run on the weekend of Saturday 17th & Sunday 18th May. The venues will be as follows: Under 14 Boys & Girls - Essendon Hockey Centre Under 16 Boys & Girls - Greensborough Hockey Centre Under 18 Boys & Girls - Melbourne Sports Centres Parkville All Umpires officiating at the JCC will receive coaching across the course of the weekend and a payment of $15 per match they umpire (noting matches are shortened in length).

Which dates you are available for the JCC?

Saturday 17th May ONLY

Sunday 18th May ONLY

Both Days

I am not available for the JCC

If you are available for the JCC, please indicate the times/days below

17th May - Morning

17th May - Afternoon

17th May - All Day

18th May - Morning

18th May - Afternoon

18th May - All Day

Other

If other, please specify availability:

Which venue would you like to ideally umpire at (you can select multiple options)?

Under 14 Boys & Girls - Essendon Hockey Centre

Under 16 Boys & Girls - Greensborough Hockey Centre

Under 18 Boys & Girls - Melbourne Sports Centres Parkville

Any of the Above

Will you be involved in the JCC in any other capacity?

Playing

Coaching

Team Manager

Other

If other, please specify for the JCC:

If you are involved in the JCC in another capacity, which team and age group are you involved with?

Senior Country Championships

The 2025 Senior Country Championships will run from Saturday 7th June to Monday 9th June at Bendigo Hockey Centre. Should team entries numbers be at a level that requires second venue, HV will source one in close proximity to MSC Parkville. All Umpires officiating at the SCC will receive coaching across the course of the weekend. In 2025, umpires will also be paid $20 per match.

Which dates you are available for the SCC?

Saturday 7th June

Sunday 8th June

Monday 9th June

All of the Above

I am not available for the SCC

If you are available for the SCC, please indicate the times/days below

7th June - Morning

7th June - Afternoon

7th June - All Day

8th June - Morning

8th June - Afternoon

8th June - All Day

9th June - Morning

9th June - Afternoon

9th June - All Day

Other

If other, please specify for the SCC:

Will you be involved in the SCC in any other capacity?

Playing

Coaching

Team Manager

Other

If other, please specify further:

If you are involved in the SCC in another capacity, which team and age group are you involved with?

Junior State Championships

In 2025, the Junior State Championships will have Under 12s (Hockey 5s), Under 14s, Under 16s and Under 18s.

The event returns to Metro Victoria in 2025.

U12 Hockey 5s JSC: 9 - 10 July 2025 at Footscray Hockey Centre
U14 & U16 JSC: 11 - 13 July 2025 at SNCH Parkville and Footscray Hockey Centre
U18 JSC: 20 - 22 September 2025 at SNHC Parkville

2025 JSC Umpire Expressions of Interest must be submitted by 5.00pm Thursday 1st May 2025. All umpires will receive coaching and mentoring for the duration of the Event, as well as payment of $15 per match.

Which venue are you hoping to umpire at?

SNHC Parkville

Footscray

Either Venue

For U14s & U16s JSC running at SNHC Parkville from 11th July to 13th July, which dates you are available for (you can select multiple) ?

Friday 11th July

Saturday 12th July

Sunday13th July

All of the Above

I am not available for the JSC at SNHC Parkville from 11th July to 13th July

For the U14s & U16s JSC running at Footscray from 11th July to 13th July, which dates you are available for (you can select multiple) ?

Friday 11th July

Saturday 12th July

Sunday13th July

All of the Above

I am not available for the JSC at Footscray from 11th July to 13th July

For the U12s (Hockey 5s) JSC running at Footscray from the 9th July to 10th July, which dates you are available for (you can select multiple) ?

Wednesday 9th July

Thursday 10th July

All of the Above

I am not available for the U12s JSC at Footscray from 9th July to 10th July

For the U18s JSC running at SNHC Parkville from the 20th September to 22nd of September, which dates you are available for (you can select multiple) ?

Saturday 20th September

Sunday 21st September

Monday 22nd September

All of the Above

I am not available for the JSC at SNHC Parkville from the 20th September to 22nd of September

Which age group are you hoping to get appointed to (you can select multiple options)?

Under 12s (Hockey 5s)

Under 14s

Under 16s

Under 18s (September Event)

Any of the Above

Other