Leftyref's Information Page
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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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