2022 FIRST-YEAR OFFICIAL APPLICATION Please enable JavaScript in your browser to complete this form.Name *FirstLastFirst 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.Preferred NameIf you go by a Preferred Name instead of your First Name, then your Preferred Name 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.Formatted NameThis is how your name will appear in the NCOA South Football Roster.Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneIf you do not have a home phone number, leave blank.Work PhoneIf you do not have a work number, leave blank.Cell PhoneIf you do not have a cell number, leave blank. Select None for cell phone provider below.Cell Phone ProviderAT&TBoostConsumer CellularCricketMetroPCSMintPatriotSprintT-MobileVerizonXfinityNoneOtherOther Cell Phone ProviderSmartphone TypeiPhoneAndroidOtherNoneThe 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. Other Smartphone TypeBirthdate *Use the arrows to position month or year. For quicker setting of year, highlight the year and enter the year directly.Email Address *Alternate Email AddressAlternate e-mail address is for internal use only and will not be published.Alternate PhoneAlternate phone number is for internal use only and will not be published.RemindersI would like email reminders of upcoming meetingsI would like text message reminders of upcoming meetingsHow did you hear about us? (Check all that apply.)NCOA OfficialFacebookInternetRadio/TelevisionCIF / MMSS, Inc.Referring OfficialWhich official(s) referred you to the NCOA South Football Division?Why do you want to be a high school football official? *Did you play football in school? *YesNoWhat level(s) of football did you play?High SchoolJunior CollegeCollegeHave you officiated football before? *YesNoWhat other sports have you officiated, if any?BaseballBasketballSoccerSoftballVolleyballWrestlingNONEDescribe your officiating experience, including positions you worked: *Describe your officiating experience. If you have never officiated, please specify None.Are you transferring from another association?YesNoName(s) of prior officiating associations/organizations?Enter the names of the other officiating association(s) or organization(s) for which you officiated. **Note: To receive credit for your prior experience, you will need to submit letter(s) of reference from each organization specifying the dates you worked, levels of games, playoff status, evaluation rating, and any other information you would like us to know. Which days can you officiate high school football?WEDTHUFRISATCheck all of the days that you are available to officiate high school football games?Primary position you are interested in working *Don't Know/Undecided/OpenUmpireHead LinesmanLine JudgeBack JudgeSelect the on-field position you would like to work for freshmen games.CommentsComments are limited to 2,000 characters.SUBMIT APPLICATION
