2024 INDY MAY CUP APPLICATION TO OFFICIATE

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INDIANA UNIVERSITY NATATORIUM - INDIANAPOLIS: MAY 15-18, 2024

Email *

Last Name *

First Name *

Preferred Email *

Mobile Phone Number *

Club Code *

LSC *

SESSIONS: Please select all sessions you are available to officiate.

WEDNESDAY - MAY 15 *

Timed Finals (5:00 PM)

THURSDAY - MAY 16 *

None

All Sessions

Prelims (9:00 AM)

Finals (6:00 PM)

FRIDAY - MAY 17 *

None

All Sessions

Prelims (9:00 AM)

Finals (6:00 PM)

SATURDAY - MAY 18 *

None

All Sessions

Prelims (9:00 AM)

Finals (6:00 PM)

CERTIFICATIONS & EVALUATIONS

If using a mobile device, scroll to select all options for certifications & evaluations.

CERTIFICATIONS & EVALUATIONS: Please only mark highest level of certification for each position. *

N/A

LSC

Stroke & Turn

Chief Judge

Starter

Deck Referee

Administrative Referee

ASSIGNMENT FIRST CHOICE: If you wish to be considered for an assignment, please indicate your first choice. Those serving all sessions or requesting evaluations will be given first priority. *

ASSIGNMENT SECOND CHOICE: If you wish to be considered for an assignment, please indicate your first choice. Those serving all sessions or requesting evaluations will be given first priority. *

REQUEST FOR EVALUATION: This meet is approved as an N2 and N3 qualifying meet. Only one evaluation will be completed at the meet with requisite sessions. You must work a minimum of four sessions. For N3 Stroke & Turn, mark N3i, i = initial; f = final; r = recertification. Please make sure you have completed all required elements prior to requesting an evaluation.

N2r

N3i

N3f

N3r

N2 Educational

N3 Educational

Stroke & Turn

Chief Judge

Starter

Deck Referee

Administrative Official

Administrative Referee

Clear selection

A minimum of four sessions are required to receive a commemorative Indy May Cup polo shirt. Please choose from the sizes below. You must select one option in each row. Thank you! *

Small

Medium

Large

2XL

3XL

4XL

N/A

Men's or Unisex

Women's

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