NTBOA Playoff Certification Form

NTBOA Playoff Certification Form

Name:*

Form Submission Date*

Member in Good Standing Requirements*

I certify that I am a Member in Good Standing as defined by the NTBOA Constitution and By-Laws and that I have complied with all the requirements for membership with THSBOA and NTBOA.

Yes

Scrimmages & Assignments Requirements*

I worked a total of 15 NTBOA varsity assignments, of which, no more than 5 of the NTBOA varsity assignments were tournaments. If a dual member, I worked 30 NTBOA varsity assignments as well as completed the scrimmage requirements.

Yes

Test Scores Requirement*

I made a minimum score of 90% on the following tests: Rules and 3-Person Mechanics.

Yes

Games & Ethics Requirements*

Have you failed to show or had more than two acts of lateness for game assignments without waiver from the Board of Directors for extenuating circumstances and are you currently on probation or have current ethics violation(s)?

Yes

Dues Requirements*

Do you have any unpaid dues/fees for the current season?

Yes

Performance Points Requirements*

I have obtained 7 Performance Points as outlined below:

Yes

Meeting Dates*

Please enter the dates of meetings you attended and you can just enter the month.

Scrimmage Points*

Members will earn ONE performance point for each chapter-assigned scrimmage officiated. A member must participate in at least THREE scrimmages or they will not be playoff eligible. No exceptions are given.

Scrimmage Dates*

Please enter the dates of your scrimmages.

Education Points*

Members will earn ONE performance point for each chapter-sponsored training/education session attended. A member must participate in at least TWO education activities or they will not be playoff eligible. Chapter meetings that offer education can be used as an education or meeting point. Those are designated by the board and typically the November, December, & January meetings have educational opportunities. However, they cannot be used as an education and a meeting point. Training/Education events include:

NTBOA-sponsored camps for staff/campers
NTBOA film sessions
NTBOA education training - pre-determined meetings/training
Work a junior high game with a 500-900 ranked official
Other education/training opportunities designated by the board

Education Dates*

Please enter the dates with a description of your educational opportunity. (Example: 1/5/16 JH Game or June 5-7 NTBOA Camp)

Certification Statement*

I certify, to the best of my knowledge, that I have completed all of the necessary steps in order to be playoff eligible. I understand that checking the box below acts as my signature and that falsifying the information will make me exempt from playoff consideration and a ethics violation will be reported.

Send me a copy of my responses

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