National Sports Center Football
Referee Application
Note: Fields marked by an asterisk (*) are required to submit your application.
REFEREE INFORMATION
NSC Referee ID# (if known)
First Name:
*
Middle Name:
Last Name:
*
Address 1:
*
Address 2:
City:
*
State/Province:
*
Please Select State/Province
Other
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Is
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip/Postal Code:
*
Country:
*
Please Select Country
ALBANIA
ALGERIA
ARGENTINA
ARMENIA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BELGIUM
BELIZE
BERMUDA
BOLIVIA
BOSNIA AND HERZEGOWINA
BRAZIL
BULGARIA
CAMEROON
CANADA
CHILE
CHINA
COLOMBIA
COSTA RICA
CROATIA (local name: Hrvatska)
CUBA
CZECH REPUBLIC
DENMARK
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
England
ESTONIA
FINLAND
FRANCE
GEORGIA
GERMANY
GREECE
GREENLAND
GUATEMALA
HAITI
Holland
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC OF)
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
KENYA
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
LATVIA
LIBERIA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MEXICO
MOROCCO
NETHERLANDS
NETHERLANDS ANTILLES
NEW ZEALAND
NICARAGUA
NIGERIA
Northrn Ireland
NORWAY
PAKISTAN
PANAMA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
RUSSIAN FEDERATION
SAUDI ARABIA
Scotland
SINGAPORE
SLOVAKIA (Slovak Republic)
SOUTH AFRICA
SPAIN
SWEDEN
SWITZERLAND
TAIWAN, PROVINCE OF CHINA
THAILAND
TUNISIA
TURKEY
UKRAINE
UNITED STATES
URUGUAY
VENEZUELA
Wales
West Indies
YUGOSLAVIA
Primary Telephone:
*
Secondary Telephone:
Email:
*
Birthdate:
*
(mm/dd/yyyy)
How many years have you been officiating?
*
AVAILABILITY TO OFFICIATE
Boxes marked represent your availability to be schedule to officiate games.
NOTE: Times listed are the start times for games, you are expected to be present at least 30 minutes prior to your scheduled game time.
NSC Football Classic (August 21-23, 2008)
Thursday, 8/21/2008:
12:00
13:30
15:00
16:30
18:00
19:30
All Day
Friday, 8/22/2008:
12:00
13:30
15:00
16:30
18:00
19:30
All Day
Saturday, 8/23/2008:
09:00
10:30
12:00
13:30
15:00
All Day