FIH UMPIRE MANAGER APPLICATION FORM [PLEASE PRINT

INTERNATIONAL UMPIRE APPLICATION FORM

[Please PRINT - BLOCK LETTERS]

Date

The			propose
	(Name of National Association)
Mr/Miss/Mrs			(Family Name)
Given names:
Address / City:
Country:	Zip Code
Telephone:		(Home)		(Work)
Fax:		(Home)		(Work)
Email:		(Home)		(Work)
Date of Birth:

for grading as an FIH Umpire Manager for Outdoor and/or Indoor Hockey (delete as applicable).

The minimum qualification criteria will normally be that the applicant:

Has been a recent FIH International (preferably Grade 1) Umpire, i.e. in the 5 years immediately prior to this application; or, if this not the case, a full hockey CV should accompany the application
Be currently and regularly active as an Umpire Manager or Umpire Coach at National Association level; and is, or will be, available to be active and work regularly at Continental Federation level
Has the ability to be able to work regularly at International level
Has the ability to understand and communicate in English, including writing of Umpire Performance Feedback forms and Umpire Manager reports
Undergoes a traineeship at a Tournament, and is willing to participate in Seminars organised at CF or FIH level

Will fully support the applicant throughout their Umpire Manager career
Will meet the full travel and accommodation costs for the applicant’s traineeship Tournament
Will meet the cost of travel to and from the airport of departure and any vaccination costs for International appointments

(NB. One digital photo to be sent electronically with this application, or please send a passport size photograph by mail).

Signature:
Name:
Position:
	(PRESIDENT, GENERAL SECRETARY OR EXECUTIVE DIRECTOR ONLY)

UM Application Form – February 2013