Officials CSI Senior Championship Sign-Up

February 21-24, 2019, at Wesleyan University, Middletown

Contact Information
First Name:*
Last Name:*
Email:*
Phone:
Select the gender of your athlete(s) competing in the meet:* Female Male Both None

Club and Certification
CT Club Code:
Your LSC highest level of certification:* Administrative Official Stroke & Turn Chief Judge Starter Deck Referee Administrative Referee Meet Referee
Do you have previous championship meet experience?* Yes No
Do you still need one (1) Championship Meet (Regionals, Age Group, or Seniors) work session for CT Officials re-certification?* Yes No Not Sure
If applicable, please list your USA Swimming national certifications:
   

Select sessions you are available to work:
Morning Preliminary Sessions:
Thursday
Friday
Saturday
Sunday
Evening Final Sessions:
Thursday
Friday
Saturday
Sunday

National Officials Qualifying Meet (OQM)

This meet is designated as a National Officials Qualifying Meet (OQM). Evaluators will be in attendance for certification and re-certification evaluations at all positions up to N3 final.

  • N2 evaluations must each be done over 3 sessions in the position at the meet.
  • N3 evaluations must each be done over 4 sessions in the position at the meet.
  • Recertification evaluations must each be done over 2 sessions at the meet.
  • ALL officials seeking evaluations must work a total of at least 4 sessions at the meet.
I would like a National Evaluation: Yes No Undecided
Evaluate for Certification (see options below): Yes No
Evaluation for Recertification (indicate position below): Yes No

Visit National Certification Levels, and Evaluation and Certification Requirements: Request evaluation for certification for the following position(s):

  • N2 S&T
  • N3 S&T
  • N2 CJ
  • N3 CJ (Initial)
  • N3 CJ (Final)
  • N2 Starter
  • N3 Starter (Initial)
  • N3 Starter (Final)
  • N2 Deck Referee
  • N3 Deck Referee (Initial)
  • N3 Deck Referee (Final)
  • N2 Administrative Referee
  • N3 Administrative Referee (Initial)
  • N3 Administrative Referee (Final)
I have or will have all the appropriate requirements for potential advancement to the position(s) being evaluated: Yes No

Comments/Questions:
   
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