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2017 Eastern Zone Short Course Age Group Championship
Application to Officiate and Request for Evaluation

March 30 - April 1, 2017, 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 3/15/2017 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 www.usaswimming.org/DesktopDefault.aspx?TabId=1515&Alias=Rainbow&Lang=en-US

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 Sean Caron at scaron@nycap.rr.com.

We thank you for your interest in officiating the zone meet and look forward to welcoming you to 2016 Eastern Zone SC Championship.

See you on the deck soon!

Officials Information
Name
(Last, First)
Your answer
LSC
Email
Your answer
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
Submit
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