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CRC & CSA Referee Mentor Application
Colorado Referee Mentor Application
Do you have what it takes to be a mentor? Knowledge, wisdom, experience, confidence building, support, patience, ability to communicate in a positive manner.
Do you want to help the Colorado referee program by providing game day support to referees, training and helping to educate/coach referees?
Application Date
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Name
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First
Last
Email
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Phone
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Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Colorado Region
Please select
Boulder County
CO Springs/Pueblo
Denver
Eastern Plains
Northern CO/Ft Collins
Mountains
West Slope
I understand that I must be current year certified by US Soccer?
Yes
No
How many years of officiating experience do you have?
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Do you have prior experience as a Mentor? If yes, please describe your experience(s).
Are you fluent in any other language other than English?
Yes
No
Fluent languages -
References - please provide names and contact information for three personal references.
Do you consider yourself technology savvy?
Yes
No, but always willing to learn
I authorize CRC/CSA to contact my references and process a background check.
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Yes
No
I understand that I will be primarily working with youth referees
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Yes, I understand & agree
No, I do not want to work with youth officials
I understand that I will be contacted by the State Director of Mentoring within 30 days.
Clear
