USA Hockey Officiating Development Camp Application

USA Hockey Officiating Development Camp Application Women's Futures

Please complete this camp application in it's entirety. A résumé is required and a template is located below. If you have any questions, please reach out to Billy Hancock and Andrew Bruggeman.
Name*

First NameLast Name
What is your USA Hockey Officiating Number?*
This is your Officiating Number located on your Officiating Card (no letters)
Street Address*
Street Address #2
City*
Zip Code*
Five digit zip only (ex. 49341)
State*
USA Hockey District*
Email Address*
This will be used for all communications. Please double check spelling
Mobile Phone Number*
Ex: 1112223333
2024-2025 USA Hockey Officiating Level*
What is your Birthdate?*

MonthDayYear
Date
Years Officiating Experience*
This does not need to be continuous. How many seasons have you been a registered official with USA Hockey?
Officiating Camp Résumé Template
Please upload your officiating résumé.. if no résumé, your application will be dismissed. *

A résumé template is located to the left. Please download to your device and submit with your submission.
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Please provide a paragraph of why you want to attend an Officiating Development Camp*
This can be long/short term goals. Tell us a little about yourself and why you should be selected to attend.
Please upload a headshot of youself*

This will be used for Scout Book purposes. Please make sure it is professional. Does not need to be in a hockey/officiating uniform.
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T-Shirt Size*
Should be Empty:

USA Hockey Officiating Development Camp Application Women's Futures