Referee Course Expression of Interest Form 2023-24

Referee Course Expression of Interest Form 2023-24

If you are interested in becoming a Referee, then please complete this application.

Once completed, you will be added to our expression of interest list and be notified of available referee course once they are announced.

You will be required to complete The FA Laws of the Game Modules via http://bit.ly/Online-Ref before the course. This can be accessed immediately.

Please note, if you live in Leicestershire & Rutland and are aged 16 or under, and still play on a Sunday morning, your refereeing opportunities will be limited due to the majority of U15 and below playing on Sunday mornings.

For guidance and support, please email Referees@LeicestershireFA.com

Personal Details

Please complete the personal details of the learner below.

Your unique FA Number (FAN)

(If known)

First Name

Last Name*

Gender*

Select or enter value

Ethnic Group (optional)

Select

Date of Birth*

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

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 or enter value

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

If you live in Leicestershire & Rutland and are aged 16 or under, and still play on a Sunday morning, your refereeing opportunities will be limited due to the majority of U15 and below playing on Sunday mornings. To discuss further, please email referees@Leicestershirefa.com

Do you currently play football?*

Select

Which format would you like to referee?*

Select

Do you intend to continue playing whilst officiating?*

Select or enter value

By clicking the submit button, you will remain on our Expression of Interest list until 1st April 2024, or until you have completed your referee course.

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