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New Athletic Director Registration Form
Congratulations on becoming a new athletic director! Please fill out the following form so that the WIAA can initiate your onboarding process.
*
1.
Your Information
(Required.)
First Name:
Last Name:
Work Phone Number:
Cell Phone Number:
Email Address:
YOUR PREVIOUS SCHOOL
2.
If you are a current AD switching schools please indicate your previous school
Previous School Name:
City:
School Level(s) (High School, Middle Level or Both):
FOR NEW SCHOOL ATHLETIC DIRECTORS
Please provide the details for the SCHOOL(S) at which you will be serving as the Athletic Director
3.
SCHOOL #1
School Name:
City:
School Level(s) (High School, Middle Level or Both):
Start Date:
Previous AD:
Previous AD Status:
4.
SCHOOL #2
(If Applicable)
School Name:
City:
School Level(s) (High School, Middle Level or Both):
Start Date:
Previous AD:
Previous AD Status:
5.
SCHOOL #3
(If Applicable)
School Name:
City:
School Level(s) (High School, Middle Level or Both):
Start Date:
Previous AD:
Previous AD Status:
6.
Additional Comments and/or Questions
NEW DISTRICT ATHLETIC DIRECTOR DETAILS
Please provide the details for the SCHOOL DISTRICT at which you will be serving as the District Athletic Director using the PUBLIC or PRIVATE options below
7.
PUBLIC SCHOOL DISTRICT
School District Name:
City:
Start Date:
Previous AD:
Previous AD Status:
8.
PRIVATE SCHOOL DISTRICT
School District Name:
City:
Start Date:
Previous AD:
Previous AD Status:
9.
Additional Comments and/or Questions
After you have submitted this form, a representative from the WIAA office will follow up with New AD Information. If you have any questions, please contact
Justin Kesterson
(Assistant Executive Director) or
Peter Ho
(Membership & Billing Coordinator).
