IOWA INTERCOLLEGIATE ATHLETIC CONFERENCE

SOFTBALL UMPIRE APPLICATION

NAME: PHONE: (O)

ADDRESS: (H)

CITY: (FAX)

STATE: ZIP: (CELL)

SOCIAL SECURITY # : Email:

A.) Circle the Institutions below at which you would be interested in officiating games for the upcoming softball season. (Please provide ONE-WAY MILEAGE to the Institution(s) from your residence in the blank space. This information is for travel time for assigning and not for mileage reimbursement.

Buena Vista Univ., Storm Lake Luther College, Decorah

Central College, Pella Simpson College, Indianola

Coe College, Cedar Rapids U. Dubuque, Dubuque

Cornell College, Mt. Vernon Wartburg College, Waverly

Loras College, Dubuque

Experience: This section is vital for me to initially assign games. Until we are able to evaluate umpires under game conditions and have a better handle on who can work the games the way we want them done, your previous experience and credentials will carry the most weight. Fill in this section with as much detail as possible.

Number of years you have umpired fast pitch softball.

Number of collegiate fast pitch softball games umpired last season.

Number of fast pitch softball games umpired last season. (Any Level)

CATEGORY (FAST PITCH)NCAA-I NCAA-II NCAA-III NAIA NJCAA ASA HS

# of Years umpired in

each category (through last season)

# of Fast Pitch Games umpired

in each category. (through last season)

page 1 of 3

# of Regionals umpired in

each category.

# of Nationals umpired in

each category. State

List any College Invitational Tournaments you have umpired in the past two years.

Year Tournament# of TeamsYear Tournament # of Teams

Are you a registered ASA Umpire? Number of Years?

Have you attended an ASA National or State Umpire School(s)? Year(s)?

List any State/Regional/National Fast Pitch Tournaments you have umpired in the last two years.

YearTournamentUmpire-in-Chief

List any ASA National Fast Pitch Tournaments you have umpired.

Year Tournament Umpire-in-Chief

page 2 of 3

page 3 of 3

Would you be interested in working as an Observer of Umpires? yes no

The observer would provide feedback regarding game performance of Officials to the Supervisor

on weekend games and selected weekday games.

Please send the following with this Application:

1.) Attach a copy of your last seasons college umpiring schedule with this form.

2.) Any additional information you wish to share may be attached with this form.

3.) Return a copy of the IIAC Umpire Availability Form prior to Dec. 1st.

Send to: Tom Topping,

IIAC Coordinator of Officials - Softball

1126 Jensen St.

Iowa City, IA 52246

Or FAX to (319) 354-4875