Missouri State High School Activities Association

MSHSAA Information

Eligibility & Regulatory

Education & Resources

Officials

Apply To Become An Official

Personal Information

First Name:
Middle Name:
Last Name:
Suffix:

Contact Information

Street Address
City:
State:
Zip Code:	-
Daytime Phone:	-
Evening Phone:	-
Email Address:

Personal Identification

Social Security #:	- -
Date of Birth:	Format: MM/DD/YYYY
Gender:	Male Female
High School Attended:	Current Missouri High School Out of State/Unlisted/Other

Membership Type

Reciprocal memberships are available for individuals who live outside the state of Missouri and who are fully registered in Illinois, Iowa, Kansas, Oklahoma, Arkansas, or Nebraska. If you do not meet both of these requirements, you must select "Standard" for your membership type.

Membership Type:	Standard Reciprocal (out-of-state applicants)

Vocational Information

Vocation/Job:
Current Employer:

Other Information

Have you ever been convicted of a felony?	Yes No

List all prior misdemeanor and felony convictions along with any extenuating or mitigating circumstances regarding such convictions.

Activity Selection

Registration Year:
New Activities:	Baseball Basketball Field Hockey 11-Man Football Gymnastics Lacrosse Soccer Softball Swimming and Diving Track and Field Volleyball Water Polo Wrestling

Complete Application