ONLINE APPLICATION TO OFFICIATE

SOUTHERN ZONE

SUMMER SECTIONAL MEETS 2008

Name:            SZ LSC CODE:     BD FG FL GA GU KY LA MS NC NT SC SE ST WV WT  Non-SZ LSC CODE:

 Address: 

 City, State, Zip:     ,  AL AK AZ AK CA CT DE FL GA HI ID ILL IN IA KA KY LA MA MS MN MS MT MD MI NB NV NH NC NM ME OK PA TN TX VT WY UT ND OR RI NY SD PA NJ SC VA WV OH WIS WA ,

Home Phone:   Work Phone:  

CURRENT CERTIFICATIONS (check and complete the following):

N1 (LSC Certification)                  NEW      RENEW    Position:   Stroke & Turn Chief Judge Starter Referee Admin Referee Non-Starter Referee   Exp. Date: 

N2:                                                NEW   RENEW     Position:   Stroke & Turn Chief Judge Starter Referee Admin Referee Non-Starter Referee   Exp. Date: 

N3:                                                NEW    RENEW      Position:    Stroke & Turn Chief Judge Starter Referee Admin Referee Non-Starter Referee   Exp. Date: 

 I would appreciate a receipt by e-mail. My e-mail address is:  

                                                                                                                                                                                                                        

 

I will serve at all sessions                       I can’t serve at all sessions. My choices for individual sessions are

of the meet:                                           checked below (please designate prelims or finals):

 

  YES         NO                          Check Zone Webpage for dates

                                                             Day 1                Prelims             Finals (maybe only one session of timed finals)

                                                             Day 2                Prelims             Finals

                                                             Day 3                Prelims             Finals

                                                             Day 4                Prelims             Finals

                                                             Day 5                Prelims             Finals **

 

SHIRT SIZE: (please check one):     XS,  S,  M,  L,  XL,   2X,  3X 

                                                               (this is for host planning ONLY - not guaranteed)

**  Only Southern Sectional is a five (5) day meet.  Eastern and Western is a four (4) day meet.

                                                                                                                                                                                                                          

Select the meet by checking the appropriate box below.

    Southern Sectional, Ft. Lauderdale, FL (Meet Dates July 17-20, 2008)

    Western Sectional, Austin, Texas (Meet Dates July 16-19, 2008)

    Eastern Sectional, Atlanta, GA (Meet Dates July 10-13)

This application must be received by the Zone Officials Chair no later than the following dates set for each sectional meet to be considered for specific assigned positions (Meet referee, Deck referee, Starter, Chief Judge).

  June 6, 2008 - Southern Sectional, Ft Lauderdale, FL

  June 6, 2008 - Western Sectional, Austin, TX

  May 30, 2008 - Eastern Sectional, Atlanta, GA

If your availability does not occur until after the deadline date, please call or e-mail me to inquire about possible openings on the deck.

Please check your assignment request:

Meet Referee ; Admin Referee ;  Deck Referee ;  Starter  ;  Chief Judge  

If you wish to be evaluated for a particular position, you must fill out and send to me an application for evaluation.