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2025 Centennial and Landmark Conferences
Football Officials Application
and
Spring Clinic Registration
CENTENNIAL AND LANDMARK CONFERENCES
Supervisor of Officials ... Jim Corpora
Assistant Supervisor ... Dave Race
Director of Technology ... Bill Fleming

PERSONAL INFORMATION

Last Name

First Name

Street Address

Date

City

State

Cell Phone

Zip

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 top two (2) preferred position preferences.

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

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

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

If yes, please explain below.

Officiating Schedule:  Please use the document HERE to list all your VARSITY football officiating from the 2024 season.  Only include:  Varsity High School, Junior College, and/or College.  Once you complete the document, name it:  "Your Name 2024 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

We are requiring that ALL applicants now provide their Social Security Number for payroll and tax reporting.  Please provide it in the following field:

ACKNOWLEDGEMENT OF TRUTH

I acknowledge that the above information is accurate and correct.

Date

2025 SPRING CLINIC REGISTRATION

Information for the 2025 Centennial and Landmark Conferences Football Officials Spring Clinic to be held on February 28th and March 1st can be found by visiting the SPRING CLINIC tab on this website.

Please select your shirt size (tech shirt) for the giveaway.

When you click the Submit/Register button, you will be taken to the payment page.  After you make your payment,

your application will be submitted AND you will be registered for the Spring Clinic.

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

(tryouts are NOT required for clock operators)

Your payment is non-refundable.

Thank you for submitting your application.

We look forward to seeing you at the clinic!

Thank you for submitting your payment.

We look forward to seeing you at the clinic!

The deadline has passed for registering for the clinic.

2025 FOOTBALL OFFICIATING APPLICATION / SPRING CLINIC REGISTRATION

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