Referee Questionnaire
Thank you for your interest in working as a referee for Soccer in the Streets. This questionnaire will determine the best placement for you. Recommended minimum age is 13.

Once you complete this survey, you will be contacted to provide further information required to receive timely payments (tax form, info for direct deposit or check) Payments will be made monthly. THERE WILL BE NO CASH PAYMENTS. Payment information will be required before being scheduled for matches. Scheduling will take place on a week by week basis, through email and/or your preferred communication.

Additional support available for teens and young adults:
* Financial literacy classes
* Advanced referee training and mentoring
* Referrals for additional game assignments
* Uniform & equipment assistance
* Certification/recertification course information

NOTE TO PARENTS: If you are submitting this information on behalf of your child, please include your name. If you need to submit for more than one child, you will need to submit a response for each child.

If you need further assistance, please contact Jill Robbins, 770-265-5702, jill@soccerstreets.org, for more information.
Email *
FIRST NAME *
LAST NAME *
PARENT/GUARDIAN NAME *
Date of Birth (include actual year you were born) *
MM
/
DD
/
YYYY
GRADE IN SCHOOL *
PHONE NUMBER *
OK to receive texts? *
Preferred method of communication: *
What is your level of referee certification & experience? *
Do you have a bank account? *
In which areas would you prefer to be assigned? *
Required
What are your preferred DAYS/TIMES? *
8 AM - NOON
NOON - 3 PM
3 PM - 6 PM
6 PM - 9 PM
NONE
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Any other considerations regarding schedule? (Transportation, experience, physical limitations, relationships with other teams/clubs, etc.)
Do you currently play on a team?
Clear selection
If so, which team?
Submit
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