Athlete Committee Co-Chair Application
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Powerlifting America Membership Number
*
How long have you been involved in the sport of Powerlifting?
*
How long have you been involved in Powerlifting America?
*
Are you active Powerlifting competitor?
*
Yes
No
Please describe your last 5 years of competition experience.
*
Have you competed at the National level in Powerlifting America?
Yes
No
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
*
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Letter of Intent
*
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Submit
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