New Official Application

Name

First Name:

Last Name:

Contact Info

Email Address:

Cell Phone:

Address

Address 1:

Address 2:

City:

State:

Zip:

Background

Describe Your Basketball Background (Played In High School, College, Coached, etc)

Describe Any Previous Officiating Experience

What Times Are You Available to Officiate Daily: (Including Weekends)

List 3 References

You Must Be 18 Years Old Or Older To Officiate. Are You Older Than 18?

Yes No

All Section III sports officials are required to be fingerprinted and cleared by the New York State Education Department (NYSED). I understand that I must get fingerprinted prior to being able to officiate any basketball game?

Yes No

Verfication

Enter The Digits That Appear Below:

Modal title

New Official Application

Name

Contact Info

Address

Background

Verfication

Who Should Be Invited

Is Everyone Invited?

Would You Like To Invite a Committee?

Select Committee(s)

Must Be In Good Standing?