Regional Director Application
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Home Address (as listed on your membership card)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Powerlifting America Membership Number
*
How long have you been involved in the sport of Powerlifting?
*
How long have you been involved in Powerlifting America?
*
How many years of experience do you have as a meet director?
*
Please describe your previous experience as a Meet Director, including approximate number of meets and experience under Powerlifting America.
*
Are you a referee?
*
Yes
No
Referee Level
*
Please Select
IPF Cat I
IPF Cat II
National
State
Do you have any other relevant experience in this role?
Any other experience you believe makes you qualified for this role?
Why are you interested in this role?
*
CV/Resume Upload
*
Browse Files
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Letter of Intent
*
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Submit
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