DIAA Committee Application Form
Thank you for expressing interest in being a part of a DIAA Committee. Please complete all required information.
Information of person completing report
Please list most recent/current employer first.
Education and Qualifications
License, Date Issued, Date Expires Use each entry line to input any professional licenses/certificates received. If you do not have any, input "N/A"
High School Sports Played
Please specify up to 3 sports
College Sports Played
Specify up to 3 sports played in college
Former/Current Coaching Experience
List sport officiating experience. Separate different sports coached at that level with a comma (,) Example - High School: girls lacrosse, field hockey