Instructions
1.) Complete Form Below.
2.) Once completed, click the "Submit Information" button at the bottom of the page.
3.) Review your information and click "Please Confirm" at bottom of page.
4.) Print completed form and mail with check (instructions below form) to ECAC.Name Email SS# Sport (Please indicate men's or women's) Men's Women's
Date
Street Address City, State, Zip
Phone (Day) Evening Cell
Occupation
EDUCATION:
High School
College (if applicable) Other
Experience as an athlete
Officiating Experience (List all sports, levels, number of years)
Current and Past Officiating Memberships
List all Officiating Honors or Awards Received
References (Please list names, addresses and phone numbers of three references who can attest to your officiating abilities
List High School or College Schedule for last two years
This form will not be processed until a printed version and an application fee of $75.00 is received in the office of the ECAC. Pleae make a check or money order payable to the ECAC and send it to Steve Bamford, Administrator for Officiating, ECAC, PO Box 3, Centerville, Mass. 02632
Important Note: All new applicants submitting the registration form above will not automatically be approved into ECAC membership. After submitting the ECAC registration form, new applicants must be subsequently approved for membership by the the ECAC Coordinator and by the certifying officials' organization in the sport bureau (i.e. men's basketball, soccer, baseball) for which the applicant has applied.
Important Note:ATTENTION MEN'S BASKETBALL OFFICIALS: IF YOU ARE APPLYING FOR MEMBERSHIP AS A MEN'S BASKETBALL OFFICIAL, PLEASE COMPLETE THIS FORM AND MAIL IT TO TOM LOPES, CBOA EXECUTIVE SECRETARY, 7 VILLAGE WAY, OCEAN PINES, MD 21811 ALONG WITH A $60 CHECK OR MONEY ORDER MADE PAYABLE TO CBOA.
