State Referee Application Form
Please fill out this bio if you are interested in taking the state referee exam to further give back to USA Powerlifting in Georgia.
Email address *
Name *
Your answer
City/State *
Your answer
USA Powerlifting Membership Number *
Your answer
USA Powerlifting Membership Expiration Date *
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DD
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YYYY
Number of Years involved in USA Powerlifting *
Your answer
What USA Powerlifting events have you volunteered at in Georgia in the last 2 years? *
Your answer
What volunteer position(s) did you work? *
Your answer
Why do you want to become a State Referee?
Your answer
Please list any other experiences that will help you be a successful referee.
Your answer
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