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Spring 2001 Availability Questionnaire

Availability Questionnaire

Spring 2001 Season

Please complete and submit prior to February 12, 2001.

Referee Name

E-mail Address

Social Security Number (ex. xxx-xx-xxxx)

Date of Birth (ex. 01/01/1950)

Phone Numbers:

Experience: I a current USSF certified referee. I attained my current grade of on . Recertification last completed on . I have been a VHSL certified referee since Spring, .

I am generally available on the following days and times (Check the time YOU CAN LEAVE FOR THE FIELD.)
Sunday                
Monday
3:30
 4:00 4:30 5:00
Tuesday
3:30
 4:00 4:30 5:00
Wednesday 3:30 4:00 4:30 5:00
Thursday 3:30 4:00 4:30 5:00
Friday 3:30 4:00 4:30 5:00
Saturday morn aft        
(select all that apply).

I generally can leave from the following location at (ex. 17:00) on weekdays.

I would like to work matches on days most weeks.

Other assignment desires include

I have a personal conflict (attendance, previous attendance, relative, etc.) with the following: .

I am available and would like to work on the following match dates that I have checked. The time I have indicated is the time I can leave my regular departure location.

Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Scrimmage Matches 3/5 through 3/17
 

3/5

3/6

3/7

3/8

3/9

 3/10
 

3/12

3/13

3/14

3/15

3/16

 3/17
Regular Season Begins March 19
 

3/19

3/20

3/21

3/22

3/23

 3/24
 

3/26

3/27

3/28

3/29

3/30

 3/31
 

4/2

4/3

4/4

4/5

4/6

 4/7
Public School Spring Break -- Some Private School matches
 

4/9

4/10

4/11

4/12

4/13

 4/14
 

4/16

4/17

4/18

4/19

4/20

 4/21
 

4/23

4/24

4/25

4/26

4/27

 4/28
 

4/30

5/1

5/2

5/3

5/4

 5/5
 

5/7

5/8

5/9

5/10

5/11

 5/12
 

5/14

5/15

5/16

5/17

5/18

 5/19
Post-Season Play Begins 5/22
 

5/21

5/22

5/23

5/24

5/25

 5/26
 

5/28

5/29

5/30

5/31

6/1

 6/2

You will get a copy of the data you submitted. You should print this for your records. You will also get a confirmation from the assignor when he has received your availability form. If you do not receive a confirmation within 3 days of sending your form, contact the assignor.