2018 Georgia Senior Short Course Championship
Answers marked with a * are required.
 
1. First Name: *
 
 
 
2. Last Name: *
 
 
 
3. E-Mail Address: *
 
 
 
4. Wireless Phone #: *
 
 
 
5. LSC: *
 
 
 
6. Are your Background Check and Athlete Protection up to date?
  Yes No
Background Check
Athlete Protection
 
 
 
7. I will work all sessions: *
 
 
 
8. If not all sessions, please indicate what sessions you can work:
 
 
 
9. Please select your current highest certification as an official.
  AO S&T CJ STR DR AD Ref
None
LSC
N2
N3
 
 
 
10. What position would you like to be considered for (pick two)?
  Any AO S&T CJ STR DR AD Ref
1st Choice
2nd Choice
 
 
 
11. If offered, your preferred shirt size (prioritization goes to officials working all sessions).
  S M L XL 2XL 3XL
Men's
Women's
 
 
 
12. If available, request for an evaluation.
  None N2 N3i N3f N3r Not Sure
AO
S&T
CJ
Starter
Deck Ref
Admin Ref
 
 
 
13. Most recent evaluation, date and evaluator name:
 
 
 
 
 

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