OABO - National Championship Nomination Form


 

 

 

  

     

Nomination Form

Please provide the following contact information:

Name

Date of Birth

Local Board

Street Address

Address (cont.)

City

Province

Postal Code

Work Phone

Home Phone

E-mail

Nominated by

 

  1. Gender :  

    Sex

    Male Female

  2. Number of years officiating?

  3. Highest level the nominee is currently officiating on a regular basis:  

         High School. OCAA Women OCAA MenCIS MenCIS Women

  1. Nominee has passed this year's FIBA exam:  

     FIBA:

  2. If no exam passed or written, Please explain: 

  3. Has the nominee has worked a provincial or national tournament in the past
    three years?

  4. If yes please list the tournament and dates worked in the past three years:

  5. Please provide a brief rationale as to why your nominee should be selected.:
     

 

  
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