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2024 Centennial and Landmark Conferences Football Officials Application
Landmark Football Officials.JPG
CENTENNIAL AND LANDMARK CONFERENCES
Supervisor of Officials ... Jim Corpora
Assistant Supervisor ... Dave Race
Director of Technology ... Bill Fleming

PERSONAL INFORMATION

Last Name

First Name

Date

Street Address

City

State

Zip

Cell Phone

E-Mail Address

Date of Birth

Height

Weight

Occupation

College(s) Attended

FOOTBALL OFFICIATING EXPERIENCE

Number of years you have officiated football:

High School

College

Current Collegiate Conference (if applicable)

Do you officiate other sports?

If yes, which sports?

Below please indicate your preferred position preference(s).

If you are applying as a clock operator, please indicate your preference below:

Are there any circumstances or condition(s) which would affect your priority for accepting assignments in the Centennial Conference?

If yes, please explain below.

(Selecting a Clock Operator preference does not guarantee being assigned to that position).

Officiating Schedule:  Please use the document HERE to list all your VARSITY football officiating from the 2023 season.  Only include:  Varsity High School, Junior College, and/or College.  Once you complete the document, name it:  "Your Name 2023 Varsity Games Worked", then use the Upload File button below.  It will automatically be added to your application when it is submitted.

Upload

REFERENCES

List the names, addresses, and phone numbers of three qualified individuals who have observed your work as a football official.  By listing these references, you grant us permission to contact them.

 Name

 Address

 Phone

MISCELLANEOUS

Have you ever had a civil judgement against you?

If yes, provide details

Have you ever been convicted of a crime?

If yes, provide details

ACKNOWLEDGEMENT OF TRUTH

I acknowledge that the above information is accurate and correct.

Date

When you click the Submit button, you will be taken to the payment page.

 After you make your payment, your application will be submitted.

 

The application fee includes the tryout for on-field officials.

(tryouts are NOT required for clock operators)

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Your payment is non-refundable.

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Thank you for submitting your application.

Thank you for submitting your payment.

2024 FOOTBALL OFFICIATING APPLICATION

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