| If you are a returning member of Maine NIHOA and last officiated within the last 2 years, please check this box and skip to section C (Purple).
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Maine NIHOA requires that all officials involved with this organization must be at least 18 years old, have attained high school diploma or equivalent and have officiated or have been involved with hockey for more that 3 years. Do you meet all of these requirements?
Yes
No Answering no to this question may disqualify you from joining Maine NIHOA. |
Please describe your experience, if any, with hockey (coaching, officiating, playing, etc)
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Have you experience officiating other sports? If yes, list the sports and number of years
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| Are you currently a NIHOA official elsewhere? Yes or No. If yes, which association do you belong to? |
Have you experience coaching or teaching?
If yes, explain
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What is your time availability for officiating?
Weekdays:
Saturdays:
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Please list 3 References* (name, address, phone)
1.
2.
3.
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How did you become interested in officiating high school ice hockey?
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This section is mandated by the Maine Principals Association and is to be completed annually. All officials interested in officiating Maine High School Hockey must fill out this section in its entirety, sign the application and return the application to Maine NIHOA.
Incomplete forms will not be accepted.
*Have you ever been convicted of a felony or have felony charge pending? Yes or No. If Yes, please explain the nature of the conviction. Answering yes to this question does not automatically disqualify you from joining Maine NIHOA.
*Have you ever been convicted of a misdemeanor in the last 5 years Yes or No. If Yes, please explain. Do NOT include minor traffic violations
*Are you legally able to work with school age children? Answering no to this question does not automatically disqualify you from joining Maine NIHOA
Additional explanations (if necessary)
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Date and Signature
By Pressing "Submit", you are validating the following statement: All answers and statements are true and complete to the best of my knowledge. I understand Maine NIHOA may verify information, and that false or misleading answers could be cause for rejection of this application or dismissal if a member. I further understand that any or all policies and procedures may be changed at any time and it is my responsibility to keep up with these changes and to follow any new guidelines, policy or procedures dictated by Maine NIHOA. I understand that my membership with Maine NIHOA can be revoked at any time and nothing here represents a guarantee of acceptance into Maine NIHOA or continued involvement with MENIHOA. |
