Sports Official Questionnaire We are currently accepting inquiries for sports officials. If you are interested, please complete the following questionnaire and we will contact you to discuss further. Question Title * 1. Contact Information Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Country: * Email Address: * Phone Number: * Question Title * 2. Are you over the age of 18 and legally authorized to work in the U.S.? Yes No Question Title * 3. Some venues may require you to be 21+ to enter. Are you over the age of 21? Yes No Question Title * 4. What is the highest level of school you have COMPLETED or the highest degree you have RECEIVED? Less than high school degree High school degree or equivalent (e.g. GED) Some college but no degree Associate's degree Bachelor's degree Graduate degree Post-graduate degree Question Title * 5. Are you currently in school? Yes No Question Title * 6. Please provide the details of your current school below: Name of School: School Address: Major: Projected Graduation Date: Question Title * 7. Are you currently employed? Yes No Question Title * 8. Please provide your current company details below: Company Name: Company Address: Your Position/Title: Start Date of Employment: Question Title * 9. Reason last employment ended: Question Title * 10. What sport are you interested in officiating? Flag Football Kickball Soccer Softball Question Title * 11. What days are you available to officiate from 6:00pm - 10:30pm? Monday Tuesday Wednesday Thursday Sunday (Note: Sunday games generally range from 2-7pm) Question Title * 12. Games are centrally located. Are you consistently able to make it to games by the times listed above? Yes No Other (please specify) Question Title * 13. Are there any potential conflicts that might prevent you from working every week? Please list specific times and dates if you know them. Question Title * 14. Please detail any officiating or other relevant experience. Question Title * 15. Please detail any certifications or other relevant training? Question Title * 16. Positions may include field setup and breadkown activities. Are you able to perform these activities? Yes No Question Title * 17. Are you open to work on short notice assuming you are available? Yes No Comments: Question Title * 18. Why do you want to officiate Houston Sports & Social Club games? Question Title * 19. When are you available to start officiating games? Question Title * 20. What is your desired pay range? ($/game) Question Title * 21. Do you have reliable transportation to get you to work on time? Yes No Comments: Question Title * 22. Do you feel comfortable being assertive in emotionally charged environments like competitive sports? Yes No Comments: Question Title * 23. How would you handle a screaming or irate player? Question Title * 24. Please provide any additional comments regarding your capability to manage the game and players. Question Title * 25. Have you ever been charged with or convicted of a felony? Yes No Next