WZ Senior- Officials Application

2022 WZ Senior Championships

Clovis North Aquatic Center & Clovis East HS Aquatic Center; Clovis, CA July 26th-30th, 2022
Application to Officiate

You are hereby invited to apply to officiate at the above Meet. Applicants must be a current member of USA Swimming and LSC Certified Official. The Meet is designated as an Officials Qualifying Meet (OQM) for N2 (ST, CJ, SR, DR, and AR), N3 (ST, CJ, DR, and SR) National Championship Officials Certification.

A mandatory Official's briefing session will be held beginning one hour prior to the start of each session.

The uniform for this meet will be:

Prelims and Finals: white polo shirt, khaki pants/ skirts/ shorts, white deck friendly shoes and white socks

Deadline to apply for an assigned position is June 1, 2022.
Name:

First Name Last Name
E-mail *
example@example.com
Team
LSC
Shirt Size (Men's T-Shirt Size)

XS S M L XL 2XL 3XL
Applications must be received by June 15, 2022 to be eligible to receive a meet shirt.

Every attempt will be made to provide the size requested; however, shirt size and availibility cannot be guaranteed by the host.

You must work a minimum of four (4) sessions to receive a meet shirt.
I will work all sessions

Yes No
I will be requesting to work

Tues. 7/26 Timed Finals Wed. 7/27 Prelims Wed. 7/27 Finals Thurs. 7/28 Prelims Thurs. 7/28 Finals Fri. 7/29 Prelims Fri. 7/29 Finals Sat. 7/30 Prelims Sat. 7/30 Finals
Current Certifications
LSC Position Certified and Expiration Date
N2 Position Certified and Expiration Date
N3 Position Certified and Expiration Date
Requested Position

Stroke and Turn Starter Chief Judge Deck Referee Administrative Referee
Evaluation/ Mentoring*

Please review USA Swimming requirements for National Certification and Advancement. All Officials are welcome to participate. Even if you don't qualify you are encouraged to take advantage of this mentoring opportunity.
*At Officials Qualifying Meets
APPLYING FOR EVALUATION/ MENTORING: If you would like to be mentored/ evaluated during the meet, complete the following: I request Mentoring/ Evaluation as follows:

For Advancement to N2 For Recertification to N2 For Advancement to N3 For Recertification to N3
Should be Empty:

2022 WZ Senior Championships

Current Certifications

Evaluation/ Mentoring*