Officials Applicatoin Form

Officials APPLICATION FORM:

Be sure and go to the following link, (https://www.irs.gov/pub/irs-pdf/fw9.pdf) to download a W-9 Form. This form must be filled out and emailed to Lori2@jamonit.org after you submit your application. Failure to send W-9 form will disqualify your application..

* Indicates required field

Once you complete the application, please call or email For VEGAS EVENTS only, CHRIS FULCE 702-205-5110 or email him at: dluckadoo@sbcglobal.net

Name: *

First

Last

Cell Number: *

Email Address: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Officiating experience: (select all that apply) *

Varsity Non Varsity

Enter your AAU Number below: *

Have you worked Jam On It Tournament before? *

YES NO

US Citizen: (Select One) *

YES NO

Do you have health Insurance? *

YES NO

Please list current certifications: *

Submit