APPLICATION TO OFFICIATE
2014 WESTERN ZONE SENIOR CHAMPIONSHIPSClovis North & Clovis West Aquatics Complexes
Fresno, California
July 30 – August 3, 2014
Applicant must be a current member of USA Swimming and an LSC certified official
Name: ______LSC Code: ______
Address: ______Home Phone: ______
City, State, Zip: ______Work Phone: ______
E-mail: ______Cell Phone: ______
CURRENT CERTIFICATIONS - List Highest Only
N1: ______Exp Date: ______
N2: ______Exp Date: _______
N3: ______Exp Date: ______
Accepted applicants must attend mandatory official’s briefings as specified in the acceptance letter.
You must be certified at the position(s) for which you apply. Applications for the assigned positions (Chief Judge, Starter and Deck Referee) must be received by June 22, 2014. All other applications must be received by July 6, 2014. Acceptances for assigned positions will be sent on or about July 1st; all others will be sent on or about July 15th. We will try to accommodate all Requests for Evaluation, which must be received by July 6, 2014 for consideration.
Requested Assignment: ______
(Stroke & Turn, Chief Judge, Starter, Deck Referee or as needed)
PLEASE CHECK THE SESSIONS AT WHICH YOU WILL BE AVAILABLE TO VOLUNTEER
I will serve at all sessions I can only serve at the following sessions -
Wednesday July 30 Finals
Thursday July 31 Prelims Finals
Friday August 1 Prelims Finals
Saturday August 2 Prelims Finals
Sunday August 3 Prelims Finals
DRESS FOR THIS MEET
Preliminaries – White polo shirt, khaki pants (short or long) or skirts/skorts (short or long), white shoes and white socks.
Finals – White polo shirt, khaki pants or skirts, white shoes and white socks.
Shirt size: (please check one) S M L XL 2XL 3XL (This is for Host planning and is not guaranteed.)
Please Return Application by mail or e-mail to: Don Hougardy
Please call or e-mail with questions. The 2014 Western Zone Officials’ Chair
Western Zone Leadership Team (Mary Jo Swalley - 840 SE Bishop Blvd, Ste #202
Meet Referee, Gloria Schuldt – Administrative Pullman, Washington 99163
Referee and Don Hougardy – WZ Officials’ Chair) thank you in (509) 334-4700 (work)
advance for volunteering your time. We are looking (509) 432-6431 (mobile)
forward to seeing you in California.