FEI Global Programme for Eventing Officials 2009 – 2017 /

Eligible Applicant – Application Form – 2017 Session

Deadline: 01.09.2016

Dear Applicant,

Filling in this form accurately is the first step, so please provide as many details as possible, indicating the specific programme for which you would like to be considered.

All details provided will be treated as confidential.

I. Personal Details

Name
Address
Phone numbers (home & mobile)
Email Address
Nationality / NF
Is your availability to 'officiate' subject to having to take time off (or holidays) from a 'full time' job?
Age Group: / 20-30 / 31-40 / 41-50 / 51-60 / 61-70
English Level / Mother tongue / Fluent / Understood

II. FEI Status

Current FEI Status: / In which programme are you interested in:
Please tick the relevant boxes
National Official Please specify which function:
F.E.I. 1&2 star Judge / Shadow Officiating
F.E.I. 3&4 star Judge / Exchange of Officials
F.E.I. 1&2 star TD / National Scheme
F.E.I. 3&4 star TD / CD Workshop
F.E.I. 1&2 star CD / Steward Scheme
F.E.I. 3&4 star CD
F.E.I Steward: Please specify which level

III.

Number of years since the last FEI qualification
Number and level of available events within the NF

IV. Current Importance and Role

Are you involved with your National Federation? Please give details
Are you involved with organising an International Three Day Event? Please provide details
Have you been (or are you still) an International Eventing Rider? Please provide a summary of your International competition details


V.

Please send this completed application to your NF, so that it can becertified, approved and then forwarded to the FEI Eventing Department

Dear NF,

In order to participate to the FEI Global Education Programme, your NF has to support the candidate’s application.

Please complete the Events and Education part; any further information that would support this submission is welcome.

Events (from the most recent)

Year / Place / Event Type / Function / Remarks

FEI Courses/Seminars attended

Year / Place / Type / Level / Director's Name
Any further information / comments to back up this application (top qualities, involvement in the NF, etc…
The NF of ______certifies that the information above regarding the above mentioned official is correct.
Signed: ______
NF Official Representative

Stamp of the NF

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