WOMEN’S WORLD EVENT OFF FIELD OFFICIAL

APPLICATION FORM

June 2016

OFF FIELD OFFICIALAPPLICATION FORM

FIL WOMEN’S WORLD CUP 2017

GUILDFORD, ENGLAND (SATURDAY 8TH – SUNDAY 23RD JULY)

DUE: 1 NOVEMBER 2016

OFF FIELD OFFICIAL

Name:

Position applying for (can apply for more than one)

Head Assignor
(work with FIL Officiating Chair to coordinate all ‘On Field’ and ‘Off Field’ Officials assignments) / Yes or No
Head Clinician
(work with FIL Officiating Chair to create and present pre-world event clinic for ‘On Field’ and ‘Off Field’ Officials, and daily mini clinics) / Yes or No
Head Mentor
(work with FIL Officiating Chair to coordinate all mentorships and FIL accreditations during a world event) / Yes or No
Off Field Official
(Assessor, Mentor & Technical Delegate) / Yes or No
Home Address #1:
Street:
City:
State/Province:
Country:
Postal/zip code:
Email:
Cellular/mobile phone:
% time you resideat this address:
Home address #2 (if applicable):
Street:
City:
State/Province:
Country:
Postal/zip code:
Email:
Cellular/mobile phone:
% time you reside at this address:
NATIONALITY:
Citizenship #1
Country:
Citizenship #2 (if applicable)
Country:

ACCREDITATION INFORMATION

Current accreditation (international or national)
Date current accreditation earned:
Date current accreditation expires:

RECENT OFF FIELD OFFICIAL HISTORY

Please provide a summary of your Off Field activity (umpire training etc.) over the past three years at the national and international level. (expand boxes as needed)

Year / Local / National/College / International
2016
2015
2014

REQUIRED DOCUMENTATION

Please include the following documentation alongside this completed application form

Document / Attached?Yes or No
Off-Field Resume 2014-16
Signed 2016 FIL Rules and Responsibilities Form
Signed 2016 FIL Code of Conduct

Applicants

Please send the completed application and associated documentation to your home country contact.

Member Countries

Please submit a list of all off-field officials who are applying along with their applications and documentation to Stephen Taylor by 1st November 2016.

FIL WOMEN’S WORLD EVENT OFF FIELD OFFICIAL APPLICATION FORM June 2016| 1