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Basketball Officials' Questionnaire

To be filled out by officials currently working or requesting to work in the CAC / MVC Conferences

What Form are you submitting? *

Basketball Official's Questionnaire

Name *

Email address *

Cell # *

What Board do you belong to? *

How many years have you been a member? *

Please check your current level.

I am a working Varsity Official
I have limited Varsity Experience.
I have worked Sub-Varsity games
I only have experience at the Youth Level.
I am a new official with limited experience.

How many years have you been a Regular Varsity Official?

What leagues do you currently work in? *

Cape Ann
Commonwealth
Dual County
Gr. Boston
ISL
Merrimack Valley
Northeast Conf.
Other

What level do you work Varsity games/

Boys' Varsity
Girls' Varsity
Both Boys' and Girls' Varsity
I do not work Varsity Level Games

Are you a College official?

Yes
No

If so, what Division?

College Boys'
College Girls'

What Level do you work College games?

Division 1
Division 2
Division 3
Community College Only

Have you worked State Tournament games?

Yes
No

What Level State Tournament games have you worked? Click all that apply.

Boys' Finals
Boys' Semi-Finals
Boys' Quarter-Finals
Boys Preliminary Games
Girls' Finals
Girls' Semi-Finals
Girls' Quarter-Finals
Girls' Preliminary Games

Please add pertinent information that will help me understand your ability as a Basketball Official. *

Send me a copy

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