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* 1. First Name

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* 2. Last Name

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* 3. City:

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* 4. State:

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* 5. E-mail address:

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* 6. Contact Phone Number

Please rate the following questions on a scale of 1-5 (5 being the highest)

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* 7. How would you rate your overall knowledge of football?

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* 8. How interested are you in learning how to become an official?

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* 9. How interested would you be in attending an NFL officiating workshop in your area?

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* 10. How did you hear about the Football Officiating Academy?

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* 11. Are you one or more of the following:

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* 12. Gender

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* 13. Please indicate if we may contact you regarding upcoming Football Officiating Academy clinics and events.

Thank you for taking the time to complete the NFL Football Officiating Academy survey. Your input is valuable to us as we plan to expand our officiating program to your area.
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