2018 Eastern Zone Short Course Age Group Championship
Application to Officiate and Request for Evaluation

March 29-31, 2018, Webster, NY

Welcome to the Eastern Zone SC Age Group meet! This is a National Officials Qualifying meet (OQM). If you are interested in officiating during the meet, please fill out the form below and submit. This form will also record your request to be evaluated for N2 or N3 status in USA Swimming. Requests for evaluation must be submitted by 3/15/2018 in order to be honored. Anyone requesting N2 or N3 must be willing to officiate at the meet for a minimum of 4 sessions during the meet.

All requirements for advancement and recertification can be found on the USA Swimming site on the Officials resource page at https://www.usaswimming.org/utility/landing-pages/officials/national-certification-and-evaluation

If you are not requesting an evaluation, please note this in the Evaluation Request drop down menu.

If you have any questions about the N2/N3 certification process or the meet itself, please contact the Meet Referee Rich Nolan at nolanr42@yahoo.com.

We thank you for your interest in officiating the zone meet and look forward to welcoming you to 2018 Eastern Zone SC Championship.

See you on the deck soon!

Email address *
Officials Information
Name *
(Last, First)
Your answer
LSC *
Shirt Size *
This is not a guarantee that shirts will be provided.
Certifications and Evaluation Request
Certifications *
List highest certification level at each position
None
LSC
N2
N3
S&T
Starter
Chief Judge
Deck Referee
Administrative Referee
Request for Evaluation *
Please indicate your desire for N2/N3 evaluation
Requested Level for Evaluation
Required if you requested evaluation above
Requested Position for Evaluation
Required if you requested evaluation above
I would like to be assigned to the following position for the meet *
Required
Session Availability
Thursday 11&O Preliminaries *
Thursday 10&U Timed Finals *
Thursday Finals *
Friday 11&O Preliminaries *
Friday 10&U Timed Finals *
Friday Finals *
Saturday 11&O Preliminaries *
Saturday 10&U Timed Finals *
Saturday Finals *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms