Upgrade to Level II form for Meet Coordinator
British Columbia Speed Skating Association
c/o BCSSA P.O. Box 2023 Station A Abbotsford, BC Tel 1.604.746.4349 fax 1.604.746.4549

OFFICIALS CERTIFICATION PROGRAM APPLICATION FORM FOR UPGRADING TO LEVEL II
Deadline for submission is March 31st

If you have any questions please e-mail The BCSSA Officials Development Committee (ODC):
officials.development.committe@gmail.com

Last name *
Your answer
First name *
Your answer
Address *
Your answer
City *
Your answer
E-Mail Address *
Your answer
Telephone Number *
Please put down as: 1-xxx-xxx-xxxx
Your answer
What is your SSC#? *
Not know your number? This is found on the BCSSA homepage: http://www.speed-skating.bc.ca/certified-bc-officials If your name is not there it means you will have to contact the BCSSA head office to find out why.
Your answer
Date of Birth *
dd/mm/yyyy
Your answer
Are you a paid member of BCSSA? *
Required
What club are you currently registered with? *
Your answer
Current Status *
Please check all that apply.
Required
Nomination for Level II (please check all that apply) *
Please make sure you meet the upgrade criteria as posted on the BCSSA/ODC website under officials resources http://www.speed-skating.bc.ca/officials-resources/
Required
Practical Experience / Technical experience
Please use the following section for the clinic and competitions you officiated at.
What year did you attend the level 2 clinic? *
Your answer
Who was the facilitator of the clinic? *
Your answer
Assist and or Chief at 2 or more BCSSA sanctioned meets in the upgrading position: (List date and the place of competitions and Chief Official) *
Please list the BCSSA sanctioned meet/meets that you officiated at, please also list the date and name of the meet and or mentor/chief official
Your answer
Assist at 4 or more SSC sanctioned Provincial or Regional Competitions in the position applying for: (List date and place of competitions) *
Please list the SSC sanctioned meet/meets that you officiated at. Chief at 1 SSC Provincial sanctioned competition under supervision of a Senior Official in that discipline would help to be upgraded. Satisfactory evaluation from a Level 3 official or higher referee would also help in the upgrade process.
Your answer
Please make sure all evaluations are e-mailed into BCSSA ODC: officials.development.committe@gmail.com
Your answer
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