Application to Officiate                                             2021 Oregon Long Course Championship Meets
Event: 10 & Under Long Course July 10th - 11th Meet Referee Sheila Lovell-Otterstrom
Albany Community Center
2150 36th Ave SE,
Albany, OR 97322
         

Event: 11& Over Long Course July 22nd - 25th Meet Referee Bill Shreeve
Pendleton Aquatic Center
1901 NW Carden Avenue
Pendleton, OR 97801

All applicants must attend mandatory officials briefings before each session which begin one hour prior to the start of each session. Uniform is white polo and black pants/skirt with black shoes & socks. Black shorts may be worn during prelims only.

Complete this application as soon as possible, preference will be given to applications received before
July 15th.


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Select which meet you are applying for *
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Name *
Email *
Phone Number *
LSC/Club *
LSC Expiration Date *
Current LSC Certifications *
select all that apply
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N2 Certifications and Expiration
N3 Certifications and Expiration
10 & Under LC Championships -  please select sessions you will work                                                                                                                                                                                                                                      
Clear selection
11 & Over LC Championships - please select sessions you will work                                                                                                      
APPLICATION FOR ASSIGNED POSITION: If you would like to be considered for an Assigned Position, please select the appropriate box below. If applying for more than one position please indicate preference (first, second, third)
Deck Referee
Starter
Chief Judge
Admin. Ref
Stroke & Turn Only
First Choice
Second Choice
Third Choice
Clear selection
APPLICATION FOR EVALUATION: If you would like to be observed/evaluated during the meet, please complete the following:                                                  (not available at 10 & Under meet)
Deck Referee
Starter
Chief Judge
Admin. Ref
Stroke & Turn
Advancement to N2
Advancement to N3
Recertification
Clear selection
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