Referee Transfer Application

Referee Transfer Application

Powerlifting America
If you wish to transfer your referee status to Powerlifting America please complete the following form. Depending on which organization you are coming in from, we may grandfather you in right away or may ask you to complete our online exam.

IPF Cat1 and Cat2 Referees do not need to complete this form.
Name*

First NameLast Name
Powerlifting America Membership Number*
You must have a current Powerlifting America Membership before applying.
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Powerlifting Federation Where You Earned Your Referee Status*
Highest Level of Referee Status That You Earned*
Date That You Earned This Status*

MonthDayYear
Date
Referee Resume*
Please list the past three meets that you works and what capacity you worked as. (If you were a National Referee please list National Meets over Local Meets) See example that pops up when you hover over the question.
Documentation Upload*

Please add any evidence of your referee status. Example a picture of your Referee Credentials / Referee Book, your Confirmation Email
Cancelof
Status
Should be Empty: