| Personal Information |
| Name (Last, First): |
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| Email: |
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| Phone #: |
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| Class: |
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| Are you eligible for work study? |
Yes No Unsure |
| Have you previously held a job on campus? |
Yes No |
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| Sports |
| Please select the sports(s) that you would like to officiate: |
| Flag Football |
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| Soccer |
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| Basketball |
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| Softball |
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Do you have any officiating experience?
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Yes No |
If yes, please explain:
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Other
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How did you hear about this job?
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Do you have any questions?
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