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Sports Official Survey of Interest
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Please correct the fields below:
Please correct the field(s) marked in red below:
The City of Victorville Recreation Division offers Youth and Adult Sports programs throughout the year. Opportunities are available for experienced sports officials to get involved. If you would like to become a paid Sports Official, please complete the survey below and submit your application.
1
Personal Information
*
Personal Information
Name
Date of Birth
Address
City
Zip Code
Contact Phone
ext.
Email Address
2
Have you ever been convicted of a violation or attempted violation of Section 243.4 of the Penal Code, a sex offense against a minor, or of any felony, which requires registration pursuant to Section 290 of the Penal Code?
*
Have you ever been convicted of a violation or attempted violation of Section 243.4 of the Penal Code, a sex offense against a minor, or of any felony, which requires registration pursuant to Section 290 of the Penal Code?
Yes
No
3
Which Youth or Adult(s) sports are you interested in officiating?
*
Which Youth or Adult(s) sports are you interested in officiating?
Youth Basketball
Adult Basketball
Youth Volleyball
Youth Flag Football
Adult Soccer
Adult Softball
4
How many years of experience do you have officiating youth or adult sports?
*
How many years of experience do you have officiating youth or adult sports?
1 or less years
1 to 2 years
3 to 4 years
5 or more years
5
Based on the amount of experience you've selected in question #4, briefly describe your experience in umpiring and/or refereeing youth or adult sports.*
Based on the amount of experience you've selected in question #4, briefly describe your experience in umpiring and/or refereeing youth or adult sports.*
6
Are you currently officiating/umpiring with another High Desert Agency?
*
Are you currently officiating/umpiring with another High Desert Agency?
Yes
No
7
What date can you start officiating? What days and hours are you available?
*
What date can you start officiating? What days and hours are you available?