REFEREE APPLICATION (Richmond Hill Hockey)

REFEREE APPLICATION

PERSONAL INFORMATION

LAST NAME^*

Required

FIRST NAME^*

Required

FULL ADDRESS & TOWN/CITY^*

Required

CELL PHONE^*

Required

Example: ###-###-####

EMAIL ADDRESS^*

Required

Example: [email protected]. Your submission will be sent to this address.

DATE OF BIRTH^*

Required

Type in your DOB for quicker selection

HEIGHT^*

Required

EMERGENCY CONTACT INFORMATION INFO

CONTACT NAME^*

Required

CELL NUMBER^*

Required

ADDRESS^*

Required

ISSUES THE PROGRAM SHOULD BE AWARE OF^*

Required

TELL US ABOUT YOURSELF

WHY DO YOU WANT TO BE A REF?^*

Required

200 words max

WHAT HOCKEY EXPERIENCE DO YOU HAVE? (What team/level do/did you play)^*

Required

Please specify the most recent team you played on (ie: RH Jaguars u18 AA in 2023-2024)

RELEVANT WORK / VOLUNTEER EXPERIENCE^*

Required

DO YOU HAVE EXPERIENCE OFFICIATING? (If so, Where?)^*

Required

REFERENCE

Please list a reference

#1..........FULL NAME^*

Required

CELL #^*

Required

Example: ###-###-####

EMAIL^*

Required

Example: [email protected]

GENERAL INFORMATION

You may add any additional information about yourself here (not required). If you wish to submit a resume please send it to: [email protected] with REFEREE APPLICATION in the subject line.

ADDITIONAL INFORMATION

Please use the space above to add any additional information about yourself that would be useful to our coach selection committee.

I authorize the Richmond Hill Hockey Association to collect personal information appropriate to the position applied for concerning my academic background, employment history, and verify the character references I have supplied.

I understand that the information obtained will be confidential but may be shared with relevant organizations in order to obtain an appropriate position with the association.

I agree to the terms and conditions stated above^*

REFEREE APPLICATION (Richmond Hill Hockey)

OMHA Digital Network

PERSONAL INFORMATION

EMERGENCY CONTACT INFORMATION INFO

TELL US ABOUT YOURSELF

REFERENCE

GENERAL INFORMATION

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