Referee Course Expression of Interest Form

If you are interested in becoming a referee, please fill in this form and complete your application. Our referee courses are extremely popular, so please be patient whilst you wait for a course to become available. In order to book onto a course, you are required to complete the following pre-course modules:

The FA Laws of the Game

The FA Safeguarding For All

For guidance and support in completing these courses, please see the document here.

Please ensure you complete the modules under your own FAN as they take some time to transfer.

If you have any questions or require any further support, please don’t hesitate to contact us.

Kind Regards,

Referee Department – Northamptonshire County Football Association

Before completing this form, please ensure you have read the instructions to the left hand side.

Personal Details

Please complete the personal details of the learner below.

FA Number

Please enter your FA Number if you know this

First Name*

Last Name*

Gender*

Date of Birth*

Learners must be aged 14 or over at the time of the course.

Home Address*

Postal Code*

Contact Number*

If you are under the age of 18, please ensure the contact number is that of a parent/guardian.

Learners Email Address*

If learner is under 18, this must be different to the Parent/Carers email address and will be used solely for access to online profiles and systems.

Parent/Carer Email

Please ensure this is the email address of parent/carer if Learner is aged under 18. This will be used for correspondence.

Course Options

Course Location*

Please select where you would prefer to do you course (multiple select)

Select

Please outline below why you wish to become a referee?*

How did you find out about becoming a Referee?

If none of the below, please enter manually.

Select or enter value

Your Football

Please let us know about your current situation within football

Do you currently play football?*

Select All of the Days you play on.

Select

Which format would you like to referee?*

Select

Do you intend to continue playing whilst officiating?*

Select or enter value

Send me a copy of my responses

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