Application to Officiate

BRITISH GAS ASA NATIONAL OPEN WATER CHAMPIONSHIPS 2014

03 August 2014: National Masters 3km

04 August 2014: National Age Groups and Youths

Venue: Rother Valley Country Park, Sheffield

Closing Date for Applications: 13th June 2014

Applications are invited from Licensed Open Water Officials to officiate at these events.

Accommodation will be provided for all officials living more than 30 miles or 45 minutes traveling time from the venue who are able to volunteer for both days. Travel expenses will be paid for one return journey. Please indicate below if you require accommodation.

Officials living less than 30 miles or 45 minutes traveling time will receive travel expenses for each day of attendance.

Title / Name
Registration No /
Club
Address
Post Code

Telephone Home

/ Telephone Mobile / E-mail
Qualifications / Open Water Official Level 1 / Open Water Official Level 2 / Open Water Referee
Please indicate
Shirt Size-
/ Small / Medium / Large / XL / XXL / XXXL
Availability
Please indicate / Sunday 03 August / Monday 04 August
Accommodation required?
/ Saturday 02 August / Sunday 03 August

Please provide overleaf a brief history of your Open Water officiating experience during the last two years.

Signed………………………………………………………………………..Date…………………………………..

It is expected that all applicants should have some experience of officiating at Open Water competitions at County, Regional or National Level. Please include such events that you have officiated at during the last 2 years.

DATE / NAME OF COMPETITION / DUTY

In certain instances it may be necessary to take up a reference. Please provide the contact details of a British Swimming Licensed Open Water Referee who is willing to give you a reference.

Title / Name

This application must be received by the Swimming Officials Coordinator before 13 June 2014

Helen Akers 9 Three Tuns Road, Eastwood, Nottingham, NG16 3EJ.

Reply address:

Swimming Officials Coordinator: Helen Akers, 9 Three Tuns Road, Eastwood, Nottingham, NG16 3EJ. E-mail;