2021 FIRST-YEAR OFFICIAL APPLICATION

First name and last name are used to create your Formatted Name, as "Last, First". If your first name is Charles and your last name is Smith, your Formatted Name in our roster will be Smith, Charles.
If you go by a Nickname instead of your First Name, then your Nickname will replace your First Name in our roster. If your first name is Charles and your last name is Smith, but you go by Chuck, your Formatted Name in our roster will be Smith, Chuck.
If you do not have a home phone number, leave blank.
If you do not have a work number, leave blank.
If you do not have a cell number, leave blank. Select None for cell phone provider below.
The type of smartphone you have. If you don't have a smart phone, select None. If you have a smartphone but it's not Apple and not Google Android, select Other.
Use the arrows to position month or year. For quicker setting of year, highlight the year and enter the year directly.
Alternate e-mail address is for internal use only and will not be published.
Alternate phone number is for internal use only and will not be published.
Describe your officiating experience. If you have never officiated, please specify None.
Check all of the days that you are available to officiate high school football games?
Select the on-field position you would like to work for freshmen games.
Comments are limited to 2,000 characters.