Application for Sectional Rating (New Candidate)

APPLICATION FOR SECTIONAL RATING (NEW CANDIDATE)

SOUTHEAST FIELD HOCKEY ASSOCIATION

Name: ___________________________ Local USFHA Board: ______________________

Address: ___________________________________________________________
Street

___________________________________________________________
City State ZIP

EMAIL: _______________________________________________________

PHONES: (Home) _________________________________

(Office) _________________________________

(Cell) _________________________________

CURRENT RATING: ___________________________ EXPIRATION DATE: _________________

USFHA MEMBERSHIP #:__________________________________

List the type of games you have umpired in the past two years (High School, College, Club, Association):

____________________________________________________________________________________

This form must be returned to the Umpiring Chair Janice Bledsoe along with the required “New Sectional Rating Recommendation” forms.

Last Updated: 08/11/2005 Contact Name: Webmaster