NIRSA Regional Basketball Official's Application
Thank you for your interest in attending a NIRSA Regional Basketball Tournament!

Please fill out all of the required information below. You will be contacted by the tournament director(s) of the events that you apply. You must be available to officiate the entire weekend. There will be a mandatory Official's Clinic communicated through the tournament staff.

The questions in the application are designed to collect information to aid in the selection of officials for the tournament. Tournaments are looking to invite a diverse range of officiating experiences; working outside of Intramural Sports is not a requirement for selection. Newer officials are highly encouraged to apply , as well as seasoned veterans.

Select the NIRSA Regional Tournament(s) you are interested in attending
Applications deadlines are listed beside each tournament
February 10-12, 2017
February 10-12, 2017
February 17-19, 2017
February 17 -19, 2017
March 3-5, 2017
March 3-5, 2017
March 3-5, 2017
March 3-5, 2017
March 10-12, 2017
March 10 -12, 2017
March 17 – 19, 2017
First Name
Your answer
Last Name
Your answer
Institution
Your answer
E-Mail Address
Your answer
Phone Number
Your answer
Year in School
Gender (for rooming purposes)
Do you have any dietary restrictions or allergies? If yes, please list.
Your answer
T-Shirt Size
Intramural Professional's Name
Your answer
Intramural Professional's Email
Your answer
Intramural Professional's Cell Phone Number
Your answer
The Intramural Professional at my institution is aware of my interest in participating in this tournament
Officiating Background & Objectives
Please list why you would like to officiate at a regional tournament and two goals you would like to achieve at the event if selected.
Your answer
Have you officiated 3-person basketball mechanics before?
How many basketball seasons have you officiated on campus including this current one?
Previous regional tournament experience? If yes, please list tournament and year.
Your answer
What level of games do you officiate on campus? (Men’s A/Comp, Fraternity, Women, Playoff Semi Finals, Recreation)
Your answer
Have you ever received a bid from a state or regional NIRSA tournament? (Flag Football or Basketball)
If you have received a bid to a National Tournament, what sport and year?
Your answer
Have you ever been recognized as an All-American Official?
If you have been recognized as an All-American Official, what sport and year?
Your answer
Please list any other relevant officiating experience
Your answer
How will you be traveling to the tournament?
Emergency Contact for Official (Name, relationship to you, contact number)
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of NIRSA. Report Abuse - Terms of Service - Additional Terms