NGAUA New Official Survey

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Area CodePhone Number

Age:*

INTERESTS

Fastpitch (youth recreation leagues)Fastpitch (youth travel tournaments)Fastpitch (High School V/JV GHSA)Fastpitch (middle school)Slowpitch (Adult recreation leagues)Basketball (youth recreation leagues)

FASTPITCH Umpiring Interest: Please rate your EXPERIENCE LEVEL with fast-pitch softball. Be TOTALLY HONEST on this - it allows us to match your experience/skill level with the appropriate mentors during the training period.*

N/A - Not interested in fast-pitch umpiring.LEVEL 1: I have "no experience" in fast-pitch umpiring. This is a new learning experience for me.LEVEL 2: I have some "very limited" experience umpiring fast-pitch softball, within the past 3 years but looking for guidance and mentoring.LEVEL 3: I'm a current a fast-pitch (or baseball) umpire for another organization but needing a refresher on fast-pitch.LEVEL 4: I'm currently a fast-pitch umpire and actively umpiring for another NFHS, NCAA, USSSA, USA, or another umpiring chapter. I'm ready to be evaluated on the field.

If Level 3 or above - please provide details on Other NFHS, NCAA, AAU or other officiating group:

Group name and/or contact info if available

SLOWPITCH (Adult) Umpiring Interest: Please rate your EXPERIENCE LEVEL with slow-pitch softball. Be TOTALLY HONEST on this - it allows us to match your experience/skill level with the appropriate mentors during the training period.*

N/A - Not interested in slow-pitch umpiring.LEVEL 1: I have "no experience" in slow-pitch umpiring. This is a new learning experience for me.LEVEL 2: I have some "very limited" experience umpiring slow-pitch softball, within the past 3 years but looking for guidance and mentoring.LEVEL 3: I'm a current a slow-pitch umpire for another organization but needing a refresher on slow-pitch.LEVEL 4: I'm currently a slow-pitch umpire and actively umpiring for another umpiring chapter. I'm ready to be evaluated on the field.

If Level 3 or above - please provide details on Other NFHS, NCAA, AAU or other officiating group:

Group name and/or contact info if available

Basketball Officiating Interest: Please rate your EXPERIENCE LEVEL with basketball officiating. Be TOTALLY HONEST on this - it allows us to match your experience/skill level with the appropriate mentors during the training period.*

N/A - Not interested in basketball officiating.LEVEL 1: I have "no experience" in basketball officiating. This is a new learning experience for me.LEVEL 2: I have some "very limited" experience officiating basketball, within the past 3 years but looking for guidance and mentoring.LEVEL 3: I'm a current basketball official for another organization but need a refresher.LEVEL 4: I'm currently a basketball official for another NFHS, NCAA, AAU or another officiating group. I'm ready to be evaluated on the court.

If Level 3 or above - please provide details on Other NFHS, NCAA, AAU or other officiating group:

Group name and/or contact info if available

Other information to share with our evaluators/assigning staff:

What are your goals in regards to umpiring/officiating:*

Softball (FP/SP Recreation) - What type of equipment do you currently own / need ?*

	Have Already	Ordered Already	Need to Purchase	N/A
Black Shoes
Heather Grey Pants
USA Softball Shirt (PB)
Hat(s) USA Softball or plain navy hat(s)
Ball Bags (USA Softball or plain navy)
Brush / Indicator

Additional items for fast-pitch umpiring:*

	Have Already	Ordered Already	Need to Purchase	N/A
Plate Shoes (not required)
Shin Guards
Chest Protector
Facemask

Youth Travel Tournament umpiring and GHSA have similar (and additional) uniform requirements. We will reach out to you in regards to these requirements as applicable.

Basketball Items:*

	Have Already	Ordered Already	Need to Purchase	N/A
Black Court Shoes
Officials Shirt
Black pants
Whistle

What days are you typically available? Understand that Saturdays are the heaviest youth fastpitch and youth basketball days. This is not a commitment - we're just trying to understand your general availability.*

	Available	NOT Available
Monday
Tuesday
Wednesday
Thursday
Friday
SATURDAY
Sunday

Availability info - add any info that helps us understand your availability

Have you registered with NGAUA yet?*

Yes - I've sent the registration form to NGAUANo but I plan on doing that ASAP.No - I need a call to discuss this.

New Official - Survey