2016 Retriever Classic Invitational Application to Officiate
Please Submit by January 1, 2016
Official Information
Last Name
First Name
Phone Number
Emergency Contact Name
Person to contact for you in case of emergency during meet
Emergency Contact Phone Number
Street Address
City
State
Zipcode
Certification
Please indicate the highest certified position from the drop down list below
Certification Level
Please indicate the highest Level of certified position from the drop down list below
Evaluation Request
This is Officials Qualifying Meet. If you wish to apply for National Certification (either N2 or N3), you must be certified for one year in the position for which you are applying. Please indicate your desire for a National Level Evaluation. A separate Request for Evaluation (link on meet page) must be submitted by January 1, 2016. To be evaluated at an OQM you must work at least 4 sessions as an official at the meet. Sessions in excess of those required for evaluation need not be worked in the evaluated position. Preference for assigned positions will be given to those working the majority of the sessions.
Request for Evaluation
Please Indicate Desire for Evaluation at LSC/N2/N3
Requested Level for Evaluation
Required for officials requesting an evaluation
Requested Position for Certification
Required for Officials Requesting an Evaluation
Additional Position Request for Certification
Please complete if second position evaluation is desired
Session Availability
Please indicate your availability from the sessions below. If you indicated you wish an evaluation for N2/N3 please consider that consistency between prelims and finals is beneficial to the athletes.
Jan 15, 2016
Yes
No
PM
Jan 16, 2016
Yes
No
AM
PM
Finals
Jan 17, 2016
Yes
No
AM
PM
Finals
Jan 18, 2016
Yes
No
AM
PM
Finals
Submit
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