Application for Certification
Use this form if you are applying for Certification. Nobody may apply for certification unless they have completed the requirements.

Applying for any level of Certification is not a guarantee that someone will receive that level. Other levels, Recognition, or no certification, may also be granted based on proven performance.

Requirements to Apply for Certification:
* Must have actively officiated (not as an alternate) games of Roller Derby:
** Level 1: 10 roller derby games in the 12 months prior to application
** Level 2: 20 regulation or sanctioned games plus 10 additional games, in the 24 months prior to application
** Level 3: 15 sanctioned games plus 15 additional games, in the 24 months prior to application

* Must have have the required Overviews of Officiating Skill (OOSes) on record, PRIOR to submitting this form.
*** The form to fill out an OOS is here: http://www.wftda.org/officiating/certification/overview -- use this form to check who has filled out an OOS for you already: https://goo.gl/forms/THxmlwLwdvtHQ0dh2
*** One must be from a HEAD OFFICIAL
*** One must be from a LEAGUE REPRESENTATIVE
*** One must be from another official: PEER, HEAD, or EXPERIENCED
*** Level 2 applications must include one additional OOS (beyond Level 1) from any other official
*** Level 3 applications, that "one additional OOS" (beyond level 1) must be from an EXPERIENCED official

* Must have completed the online learning sessions produced by WFTDA Officiating Education here: https://certification-wftda.talentlms.com/index
*** Rules
*** Risk Management
*** Level 1 applications must also complete the three position-specific courses (3 NSO courses or 3 referee courses, depending on your application)
*** Level 2 applications must also complete all six micro-courses, whether they are applying for Ref or NSO cert: Discretion Part 2 • Jammer Swaps • Pack Definition • Scoring • Star Passes • Using Good Judgement to Make a Call

*** Level 3 applications must also complete (todo)

* Must have completed the Rules Test
** Level 1 applications must have completed the Basic Test of Rules Knowledge
** Level 2 and 3 applications must have completed the Advanced Test of Rules Knowledge

* Must be equal to or at the prior level of application
** Anybody may apply for Level 1
** To apply to Level 2, you must already be Level 1, and to have waited at least two years since your Level 1 Certification
** To apply to Level 3, you must already be Level 2, and to have waited at least two years since your Level 2 Certification
** Officials with Legacy Certification are not required to wait the two years
** Uncertified fficials who officiated a WFTDA or MRDA Continental Cup, Playoff, or Championship tournament in 2016, 2017, or 2018, may apply to any level
** Uncertified but MRDA-Recognized officials may apply to any level

* For Level 2 or 3, must have been "opted in" to receive evaluations for at least one year prior to application

Note: Your email address entered below MUST match the one on record for your officiating identity.
Email address *
Skating or Non-Skating Official? *
If applying for initial certification both on and off skates, please fill out this form twice.
Level For Which You Are Applying *
Note that you must be opted in to receive evaluations prior to applying for a higher level. Uncertified officials who are qualified to apply for a higher level can opt into evaluations here: https://docs.google.com/forms/d/e/1FAIpQLSc8qGvqRZHhJqxTQ1sMIGP8Hcg04r4g7y_W9jJMXJZtdRBGwg/viewform
LMS Username *
What is your username on the WFTDA LMS system? We need this to verify that you have completed your coursework. The WFTDA LMS system can be found here: https://certification-wftda.talentlms.com/index
Your answer
WFTDA Official's Game History *
A current WFTDA Official's Game History document is required for Certification. If this document is not set to "anyone with the link can view," your application will not be processed. Version 2 and 3 officiating histories are accepted. Note that you need to start this with "http://" or "https://" or it will not register as a URL.
Your answer
Who are you (A-D)?
This step requires an officiating identity. If you do not have an officiating identity, please apply for one and then return to fill out this form when one has been granted: https://docs.google.com/spreadsheets/d/1C5BWXn_hRFbRDG7QlQMwujPXqUbCFCaXCa0PIfZzKLQ/
Who are you? (E-K)
Who are you? (J-M)
Who are you? (N-R)
Who are you? (S-Z)
Other Identities *
Please include any OTHER names you have gone by, so we can find any legacy evaluations submitted for a prior identity
Your answer
I Have Completed the Required Online Officials Education Classes for the Level For Which I Am Applying *
If you have not completed this, you must do so before applying for certification.
League Representative who has already submitted an Overview of Officiating Skill (OOS) on my behalf (Name & Email) *
Ideally this person is someone who has frequently been an athlete or coach while you were officiating, but it may be any representative of a Roller Derby league. It does not need to be a representative of a WFTDA, MRDA, or JRDA league, but it must be a representative of some league. You may not apply for certification until they have confirmed that they have submitted their report.
Your answer
Head Official who has already submitted an Overview of Officiating Skill (OOS) on my behalf (Name & Email) *
Ideally this person is a mentor who has a broad view of your officiating history to this date, but it maybe any official who has worked in a "head" role while you were officiating, either as your crew head, as your tournament head, or as the head official for your league. You may not apply for certification until they have confirmed that they have submitted their report.
Your answer
Additional Official who has already submitted an Overview of Officiating Skill (OOS) on my behalf (Name & Email) *
Ideally this would be someone you have shared a crew with many times, or someone who has served on a crew for which you were the Head Official. You may not apply for certification until they have confirmed that they have submitted their report.
Your answer
Opt-In to Evaluations
If certified, do you want to begin to receive Evaluations? This is required to progress beyond Level 1.
Overall Self-Evaluation
In this area you may provide an evaluation of yourself, including strengths and areas for growth, and your opinion regarding how you have proven your performance as an official. You may also explain why you believe you deserve to be certified at the level for which you are applying.
Your answer
Type your FULL LEGAL NAME to indicate that, by submitting this form, you acknowledge that you have read and agree to the Terms and Conditions laid out in the WFTDA Code of Conduct. *
Your answer
I understand that any Evaluation or Overview of my skill that is submitted after I click "Submit," below, might not be read in my review. *
A copy of your responses will be emailed to the address you provided.
Submit
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