Application to Officiate

Tom Dolan Invitational
George Mason University, Fairfax, VA
December 3-6, 2009

You may use this form to apply to officiate the Tom Dolan Invitational meet. You may also email your request to the Meet Referee.

This meet has been designated as a "qualifying meet" under the national officials' certification program. Any official interested in being evaluated (N3 S&T, N3 CJ Final, N3 Initial Referee and Starter, N2 all positions) must apply in advance. Send the "Request for Evaluation" form (DOC) to the Meet Referee or the PVS Officials Chair. Also indicate your evaluation request on the form below. Details of the certification program can be found on the Certification Page of the USA Swimming website.

Name:     Club:     LSC:

E-Mail:     Phone No:

Current Certifications and Level (check all that apply):

   Referee    Starter    Stroke&Turn   

    Hy-Tek     Colorado

Sessions I will work (check all that apply):

Thursday Distance
Friday 13&O Prelims Friday 12&U Prelims Friday Finals
Saturday 13&O Prelims Saturday 12&U Prelims Saturday Finals
Sunday 13&O Prelims Sunday 12&U Prelims Sunday Finals

Course Preference for Preliminaries:

Girls Course Boys Course No Preference


I request to be evaluated at:      

Comments (include specific assignment requests here):

You must apply no later than November 27th for specific deck positions. However, late applications to officiate at this meet and walk-ins are also welcome and will be assigned to available positions.