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?
March 7-8, 2026 - 10 & Under Championships
March 12-15, 2026 - Junior Championship
March 219-22, 2026 - Senior Championship
March 27-29, 2026 - Silver Championships

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

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