THE ___________



____________ THE ___________

SOUTHERN CONFERENCE

Football Officiating Application

PERSONAL AND CONFIDENTIAL

Name__________________________________________________Date_________________________

Home Address_______________________________________________________________________

City___________________________________________State_______________Zip_______________

Business Address_____________________________________________________________________

City___________________________________________State_______________Zip_______________

Telephone: Home________________________________Business_____________________________

Cell___________________________________Email________________________________________

Profession or Occupation______________________________________________________________

DOB_____________Height________Weight________Social Security #________________________

EDUCATION

Graduate of High School____________________College____________Post Graduate____________

Name of High School________________________________City_______________State__________

Name of College____________________________________City_______________State___________

Playing Experience in Years: Football H.S.________College________Other__________

Basketball H.S.________College________Other__________

__________ H.S.________College________Other__________

(Specify Other)

OFFICIATING BACKGROUND

(Note: A minimum of five (5) years of high school and two (2) years of college football officiating is required to be eligible for consideration for either the supplemental or varsity officiating staff.

Number of years you have worked as an official: H.S.________College________Pro______

Do you work, or have you worked, in other collegiate conferences? Yes________No__________

If yes, which conference(s) and when?___________________________________________________

Do you officiate high school sports? Yes____No____Which sports?___________________________

What officials associations are you a member of?__________________________________________

What is your preferred position? Rank in order of preference (1-R, 2-U, 3-HL, 4-LJ, 5-SJ, 6-FJ,

7-BJ)_______________________________________________________________________________

Are there circumstances or conditions that affect your priority for accepting assignments to work

in the Southern Conference? Yes____No____If yes, describe____________________________

____________________________________________________________________________________

Have you participated in professional sports as a player______, coach______, or official________?

Describe:___________________________________________________________________________

Please attach your complete football officiating schedule for the past two years to this application.

REFERENCES: Please list the names, addresses, and phone numbers of three qualified persons who have observed you officiate. These people may be contacted as references.

1.__________________________________________________________________________________

2.__________________________________________________________________________________

3.__________________________________________________________________________________

Signature:___________________________________________________________________________

Return this questionnaire along with a recent photo to:

Jack Childress

Coordinator of Football Officials

Southern Conference

109 E. Creek Road

Greenwood, SC, 29646

HOW DO I APPLY TO BECOME A SOUTHERN CONFERENCE FOOTBALL OFFICIAL?

Thank you for your interest in Southern Conference football officiating. Applications will be accepted and reviewed only in January and February of each calendar year. MINIMUM EXPERIENCE CRITERIA FOR CONSIDERATION IS FIVE YEARS OF HIGH SCHOOL AND TWO YEARS OF COLLEGE FOOTBALL OFFICIATING.

The Southern Conference officiating application is available here on our website. Download and complete the application and mail it, along with a recent head and shoulders photo, to:

Jack Childress

Coordinator of Football Officials

Southern Conference

109 E. Creek Road

Greenwood, SC, 29646

Please note that you are to send only the application, photo, and your last two years’ schedule. No other materials such as tapes or DVD’s are necessary. Applications must be received by February 28 of each year.

Due to the size of the current staff and relatively limited turnover, only a small number of officials will be selected each season. If there is an opportunity to observe you in scrimmages, you will be contacted by the Southern Conference officiating staff. Thank you again for your interest in becoming a part of the best in Division I football.

Sincerely,

Jack Childress

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download