______THE ______
SOUTH ATLANTIC 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______
EDUCATION
Graduate of High School______College______Post Graduate______
Name of High School______City______State______
Name of College______City______State______
Playing Experience in Years:FootballH.S.______College______Other______
BasketballH.S.______College______Other______
______H.S.______College______Other______
(Specify Other)
OFFICIATING BACKGROUND
(Note: A minimum of five (5) years of high school 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 South Atlantic 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
South Atlantic Conference
109 E. Creek Road
Greenwood, SC, 29646
HOW DO I APPLY TO BECOME A SOUTH ATLANTIC CONFERENCE FOOTBALL OFFICIAL?
Thank you for your interest in South Atlantic 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 FOOTBALL OFFICIATING.
The South Atlantic 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
South Atlantic 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 South Atlantic Conference officiating staff. Thank you again for your interest in becoming a part of the best in Division II football.
Sincerely,
Jack Childress