WAIKATO HOCKEY UMPIRE INFORMATION 2005

 

NAME ___________________________________         EMAIL _______________

ADDRESS________________________________                  PHONE _______________

                 ________________________________         FAX__________________

 

ARE YOU AVAILABLE TO UMPIRE DURING THE 2006 WINTER SEASON

 

YES  /   NO

Please indicate the level(s) you would prefer to umpire:

                                                *Club Premier

                                                *Club Reserve

                                                *Club 3rd/4th division

                                                *Secondary school A or B grade

                                                *Secondary school C or D grade

                                                *Secondary school Under 15 grade

                                                *Intermediate school

                                                *Mini 8-A-side

 

AVAILABILITY

How often are you available to umpire?

                                                *2+ games a week

                                                *Once a week

                                                *Once a fortnight

                                                *Once a month

 

What are your preferences?

(Day of week, game times, team/s, gender etc)

 

 

What days are you unavailable? * Mon * Tues * Wed * Thurs * Frid * Sat * Sun

 

What times are you unavailable?  Monday Ð Friday * 4.00 Ð 5.00pm * 5.00 Ð 6.00pm

 * 6.00 Ð 7.00pm * 7.00 Ð 8.00pm * 8.00 Ð 9.00pm * 9.00 Ð 10pm

Saturdays (please state)                                            Sundays (please state)

 

UMPIRE TRAINING/MENTORING

What training or support would you like for yourself this season?

 

 

 

Would you be willing to help train or mentor a less experienced umpire?     Yes / No

Would you be willing to umpire with a more junior umpire to assist with their training? Yes/No

 

 

 

 

Waikato  Rep Programme

Which of the following rep teams/tournaments are you prepared to umpire for?

 

*Year 5/6         *Hatch/Collier *Under 15       *Under 18       *Under 21        *Senior

 

 

Experience

 

Level Umpired to in local Competition

 

*Club Premier

                                                *Club Reserve

                                                *Club 3rd/4th division

                                                *Secondary school A or B grade

                                                *Secondary school C or D grade

                                                *Secondary school Under 15 grade

                                                *Intermediate school

                                                *Mini 8-A-side

Achievements

                                                *International Grade Umpire   

                                                *National League Umpire      

                                                *NZ Level 2 Practical and Theory     

                                                *NZ Level 1 Practical and Theory

                                                *Junior Badge 

 

Additional Umpiring Experiences ( Technical Bench, Umpire Coaching Courses)

 

 

 

 

 

Record of Representative Games Umpired in last three years

 

Date(s)                        Grade                          Teams/Tournament                 Tournament Ranking

 

 

 

 

 

 

 

 

 

 

 

 

 

Agreed level of entry to Waikato Umpires Pathway