/ Officials Application
2017 NCAA DF1 East Region
Track and Field Championships
May 25, 26, and 27, 2017
University of Kentucky – Lexington, Kentucky /

You are invited to apply to officiate the 2017 NCAA D1 East Region Track and Field Championships at the University of Kentucky, Lexington, Kentucky. Competition will be Thursday – May 25h, Friday – May 26th and Saturday – May 27.

Kentucky has a very strong crop of Officials many of whom work the majority of National Meets for USATF and NCAA. We will be opening up the selection process to bring in some of the other outstanding officials in the country for what we hope will be the best NCAA Regional Meet ever held.

We need your response quickly as we expect all the position to fill soon and we will notify every one of those selected in Mid-January of 2017. The University of Kentucky will be providing housing and meals along with a small stipend.

Part I . . . Personal Information

Name of Official Applying ______

Address ______

(City) (State) (Zip Code)

Home Phone ______Cell Phone ______

E-Mail Address: ______

Required:
USATF Certification # ______USATF Certification Level ______

Shirt Size: Men’s ☐S, ☐M, ☐L, ☐XL, ☐XXL, ☐XXXL, ☐XXXXL

Women’s ☐XS ☐S, ☐M, ☐L, ☐XL, ☐XXL, ☐XXXL, ☐XXXXL

I will require a hotel room for ☐Wednesday Night, ☐Thursday night, ☐ Friday night, ☐Saturday night.

Days you will be available to work the Meet / 24th Practice / 25th / 26th / 27th

Preferred Roommate: ______

Part II . . . Assignment

Number, in order of preference, 1 through 3 (with 1 being your highest priority) the officiating areas that, in your opinion, you possess outstanding officiating experience and have demonstrated effective officiating practice.

Track Events – Field Events – Other Areas: 1 through 3 preferences
A _____ Referee / G _____ Blocks & Hurdle Crew / M _____ High Jump / S _____ Running Events Marshal
B _____ Starter / H _____ Shot Put / N _____ Long Jump / T _____ Field Events Marshal
C _____Announcer / I _____ Discus / O _____Triple Jump / U _____ Finish Line Coordinator
D _____ Clerk / J _____ Javelin / P _____ Electronic Measuring / Other:
E _____ Umpire / K _____ Hammer / Q _____ Electronic Recording
F _____ Lap Scorer / L _____ Pole Vault / R _____ Weights & Measures

Part III . . . Experience

Starting with the most recent, attach a history of the upper level track and field competitions you have worked the past THREE years, which identifies the month/year, meet location and meet name and your assignments for the meet. This must be completed before you will be considered for an officiating position in this NCAA Meet.

Month and Year / Name of Meet / Location / Your Assignment
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Please return application form to:

Gordon D. Bocock, Officials Coordinator

University of Kentucky

101 Owens Ferry Road

Somerset, Kentucky 42503

606-271-0714