GDFRA Assessment / Mentoring request
Do you need to be assessed in order to formally receive a referee certification ?
Would you like to be assessed in order to receive a formal evaluation of where your referee perfomance is at ?
Would you like to help the less experienced members become better referees ? Do you think you have skills to offer in this area ? Are you the sort of person who enjoys helping others to excel ?
Do you know that you would definitely benefit from some help and tips from a more experienced referee ? Are there areas of your game where you know you need some help ?
Would you value someone experienced coming and checking out your refereeing and giving you a couple of practical tips on ways that you could improve ?
Are you feeling a little "lonely" with your refereeing ? Would you just like someone to come and basically remind you that you are part of a bigger team who are there to back you up ?
If the answer to ANY of the above is "YES !" , then this form is for you !!
* Required
YOUR DETAILS
Your Name
*
Your answer
Your Email Address
*
Your answer
Your Phone Number (mobile preferred)
*
Your answer
YOUR EXPERIENCE
Years experience as a referee
Your answer
Year joined GDFRA (eg 2008)
*
Your answer
Highest FFA Qualification held
*
(eg Level 2 Theory, Old Level 1 Referee, Level 4 Junior)
Your answer
Current FFA Level
*
(eg Level 4 Junior, Level 3 Adult, Level 2 Senior, Level 1 Elite, retired)
Your answer
HELP YOU WANT TO GIVE / RECEIVE
What do you want to do ?
*
Request a formal Assessment
Offer to be a Mentor
Request a visit by a Mentor
Offer to perform some Assessments
Required
If relevant, please explain in a few words why you want to get/give help in this way
Your answer
Best times / ways to get in touch with you
Your answer
Please list any other information that might help to organise your involvement.
(eg "I am available to be a Mentor two Saturdays morning each month." "If possible, please assess me before Sunday 14th May as I am attending a FNSW training course on that day and I need to be formally Level 3 approved to do that course"
Your answer
Other ways to get in Touch
Warren Kinny
Assessment and Mentoring Coordinator
amc@gdfra.org.au
The Assessment & Mentoring "batphone" : 0403 684 020
My personal phone : 0425 331 544
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