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Officials application form


​​​​​1. A minimum standard of level 1 coaching is required for all coaching positions.

2. Please complete another form entry if there are insufficient sport preference selections.

3. Please attach any supporting documentation that you deem appropriate.

4. Additional information that can not be submitted via this form may be sent to​​​.

5. Print the completed application before submitting so you can present the application to your principal with the 2019 Part B- Principal Approval Form

6. Scan and email the copy of Part B with Principals signature to​​ or fax it to us on (07) 5591 2906.

 ** Please note: Golf preference - 18 years - not available for state selection.

The Department of Education through School Sport South Coast is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to register interest for sport selection. The information will only be accessed by employees of the Department of Education​. The information will not be given to any other person or agency unless prior consent is obtained.


 2019 officials application form

  • Given name(s):
  • Surname:
  • Home address:
  • Suburb:
  • State:
  • Post code:
  • Home phone:
  • Permission to add your mobile number to the team letter?
  • Mobile number:
  • Email address:
  • Emergency contact name:
  • Emergency contact number:
  • Medical conditions (eg. Asthma)
    Please provide any relevant/necessary details regarding known medical conditions or medications.
  • School:
  • If your school is not in the list above please enter your school name here:
  • School phone:
  • School fax:
  • Designation:
  • Do you have a blue card?
    Please note this information is only required for non-teachers.
  • Please provide blue card number and expiry date:
  • Employment status:
  • Do you wish to be the state sport specific delegate?
  • 1st sport preference:
    **18yrs not available for state selection.
  • 1st position choice:
  • 2nd sport preference:
  • 2nd position choice:
  • 3rd sport preference:
  • 3rd position choice:
  • 4th sport preference:
  • 4th position choice:
  • Sport qualifications:
    Please provide information regarding any qualifications you possess (eg. level 1, level 2 or equivalent) relevant to your sport preference including qualification expiry date.
  • First aid qualification and expiry year:
  • Experience:
    Please provide details about any coaching experience you may have relevant to your sporting preferences at school, district, regional or state levels or any other level.
  • Have you applied to be a 2017 Queensland team official?
  • If Yes, what sport and position?
  • Checklist of steps to follow:
  • Gender: