NIRSA Regional Championship Staff Interest Form
NIRSA Regional Flag Football Championships staff deadline: September 6, 2017
Director's Position deadline: August 31, 2017
Position Interested in Working
Please select your top 3 choices. Please note, not all regional tournaments will offer all positions listed.
Director of All-Tournament
Assistant Director of All-Tournament
All-Tournament Committee Member
Director of Competition
Assistant Director of Competition
Director of Officials
Officials Committee
Officials Subcommittee
Operations/Media Relations
1st Choice
2nd Choice
3rd Choice
4th Choice
Regional Site Interest (select all that apply)
The University of Texas at Dallas (October 27-29) *
Washington State University (October 27-29) *
Springfield College (November 3-5) *
University of Florida (November 3-5) *
University of Wisconsin-Madison (November 3-5) *
UCLA (November 10-12) *
University of Nebraska (November 10-12) *
University of Maryland (November 17-19) *
Western Kentucky University (November 17-19) *
University of North Carolina Wilmington (December 1-3) *
University of Southern Mississippi (December 1-3) *
Personal Information
Name *
Your answer
Institution *
Your answer
Title *
Your answer
Email *
Your answer
Phone *
Your answer
T-Shirt Size *
Current NIRSA Region *
Years in Campus Rec *
Membership Status *
Event Experience
Please describe in detail why you would like to be part of this tournament: *
Your answer
List all NIRSA Championship Series events worked (position, specify National or Regional, tournament site, year): *
Your answer
Other tournament experience (National, Regional, State, other): *
Your answer
Further Explanation (if needed)
Your answer
Officials Committee Only:
Please define what developing student officials means to you? (In 250 words or less)
Your answer
If applying for the Director of Officials or for an officials committee, please answer the following questions:
Are you a current, active sports official?
What are the total # of years you have officiated?
Your answer
What sports?
Your answer
Briefly describe your officiating experience in the following areas:
Intramural Sports:
Your answer
High School:
Your answer
Your answer
Your answer
Other applicable officiating experience:
Your answer
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