2026 Referees’ Technical Committee Nominations Personal DetailsFirst Name*Last Name*Email Address* Football Experience* Player Coach Administrator Referee Referee Instructor/ Observer Other OtherCoaching Qualification*Pro LicenceA LicenceB LicenceC LicenceN/ACoaching Experience*InternationalNationalLocalPlaying Experience*InternationalNationalLocalAdministrator*Please add details of all Clubs and positions heldCurrent Football Australia AccreditationReferee Accreditation*Referee Level 1Referee Level 2Referee Level 3Referee Level 4Assessor Accreditation*Assessor Level 1Assessor Level 2Assessor Level 3N/AInstructor Accreditation*Instructor Level 2Instructor Level 3N/AFurther InformationDo you have previous Committee Experience?YesNoCommittee DetailsProfessional ExperiencePlease provide any information (including recent expertise) that you believe the selection panel should know for your nomination. Identify if you hold or have held any administrative positions with other organisations/clubs.Additional NotesAny further information/details to support your application