NCCS Regional Championship Staff Interest Form

Director Positions (rank according to preference): *

Select 1 2 Not Interested

Director of Competition

Select 1 2 Not Interested

Director of Officials

Committee Positions: *

Select 1 2 3 4 Not Interested

All-Tournament Committee

Select 1 2 3 4 Not Interested

Officials Committee

Select 1 2 3 4 Not Interested

Officials Sub-Committee

Select 1 2 3 4 Not Interested

Operations Committee

Regional Site Interest (select all that apply): *

Springfield College

Texas Tech University

University of Arkansas

University of Maryland

University of Iowa

Arizona State University

Southern Illinois University

University of Southern Mississippi

Personal Information

* Name

* Institution

* Title

* Email

* Phone

* T-Shirt Size

Select S M L XL XXL

* Current NIRSA Region

Select Region I Region II Region III Region IV Region V Region VI

* Years in Campus Rec

* Membership Status

Select Professional Undergraduate Student Graduate Student

Event Experience

Please describe in detail why you would like to be part of this tournament:

List all NCCS events worked (position, specify National or Regional, tournament site, year)

Other tournament experience (National, Regional, state, other):

Further explanation (if needed):

Please define what developing student officials means to you? (In 250 words or less)

If applying for the Director of Officials or for an official’s committee, please answer the following questions:

Are you a current, active sports official?

Yes No - Total # of years officiated:

What sports?
(BB and FFBall only)

Briefly describe your officiating experience in the following areas:
(BB and FFBall only)

Other applicable officiating experience:

  Please note: completion of this form does not guarantee placement on a committee.

NOTE: After submitting your form, you will receive an email confirmation from the NNC within 7 business days. If confirmation is not received, please contact valerie@nirsa.org