2018 Age Group Long Course Championship
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2018 Georgia Age Group LC Championship
Application to Officiate
July 19-22, 2018
Georgia Tech Campus Recreation Center
750 Ferst Dr, Atlanta, GA 30318
You are applying to officiate the 2018 Georgia Age Group LC Championship at Georgia Tech. You will receive a confirmation e-mail that your application has been received by late June. If you do not receive a confirmation by that time, please e-mail email@example.com. Assigned team positions will be selected and communicated the second week of July by the meet referee, TBA. This will be an Officials Qualifying Meet (OQM) for national advancement for N2 at CJ, Starter, Deck Ref, Admin, and N3 at Stroke & Turn.
Wireless Phone #:
Background Check and Athlete Protection up to date?
I will work all sessions:
If not all sessions, please indicate what sessions you can work:
Jul 19 TF
Jul 20 Pre
Jul 20 10U
Jul 20 Fin
Jul 21 Pre
Jul 21 10U
Jul 21 Fin
Jul 22 Pre
Jul 22 10U
Jul 22 Fin
Please select your current highest certification as an official in each position.
What position would you like to be considered for (pick two)?
If offered, your preferred shirt size (prioritization goes to officials working all sessions).
If available, request for an evaluation (select one).
N3 (S&T only)
Most recent evaluation, date and evaluator name:
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