This form is for qualified referees to apply for either Meet Referee or Administrative Referee position for MASI Championship Series.

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* 1. Name & Email (please use name on USA Swimming membership card)

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* 2. Which position are you applying for?

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* 3. Which Location(s) are you able to work?

July 9 - 12, 2026 - Senior Championship
July 16 - 19, 2026 - Junior Championship
July 23 - 26, 2026 - Silver Championships

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* 4. Would you like to shadow a Meet Referee or Administrative Referee?

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* 5. Is your team the host club for the meet(s) you selected?

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* 6. Which meet(s) is your club the host for?

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* 7. Do you have previous experience running a multi-session/multi-team meet?

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* 8. Which meets have you run before? Please list some examples below.

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* 9. How long have you been a certified DR/AO?
How many sessions have you worked in the last year

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* 10. By requesting to be chosen I understand I am required to be at all sessions of the meet including Technical Meeting and other Zoom sessions as needed.

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* 11. Please select any/all of the National Certifications you currently hold:

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