ࡱ> pro%` TbjbjNN 4X,,@HHHHHHH\ 4\K1 =l^0`0`0`0`0`0`0$=2h4r0H|=0HH31BBB"HH^0B^0BBHHB \ B/l10K1B5`5B5HBhBTUC008 K1\\\ \\\ \\\HHHHHH REQUEST FOR EVALUATION: Age Group Championships TO: Team Lead CJ (David Coleman) QUALIFYING MEET: 2009 Western Zones Age Group Championships Meet Dates: August 4 - 8, 2009 (Pool Events) and August 9, 2009 (Open Water) Meet Location: Veterans Memorial Aquatic Center LSC: HI Mail to: David Coleman, 2813 Manoa Road, Honolulu, HI 96822 or email:  HYPERLINK "mailto:dcoleman@chaminade.edu" dcoleman@chaminade.edu or fax: (808) 739-8328  Please consider me for assignments at the above meet so that I may be evaluated as follows: Name:  FORMTEXT      LSC:  FORMTEXT      USA S Reg #  FORMTEXT      Email:  FORMTEXT      Phone: ( FORMTEXT      )  FORMTEXT      Street Address:  FORMTEXT      City: FORMTEXT      State  FORMTEXT       Zip FORMTEXT       Current Certifications: Stroke and Turn Judge:  FORMDROPDOWN  Years/months at this certification: yr: FORMTEXT      m: FORMTEXT       Chief Judge:  FORMDROPDOWN  Years/months at this certification: yr: FORMTEXT      m: FORMTEXT       Starter:  FORMDROPDOWN  Years/months at this certification: yr: FORMTEXT      m: FORMTEXT       Deck Referee:  FORMDROPDOWN  Years/months at this certification: yr: FORMTEXT      m: FORMTEXT       Admin Referee:  FORMDROPDOWN  Years/months at this certification: yr: FORMTEXT      m: FORMTEXT       Requested Evaluations: (You must work at least four sessions at the meet for an evaluation to be validated.) For re-certification at N2 or N3 as:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref (choose up to 5) For Advancement towards N2 or N3:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref (choose up to 2) For Final Evaluation as N3*:  FORMCHECKBOX  CJ*  FORMCHECKBOX  Starter* FORMCHECKBOX  Referee*  FORMCHECKBOX  Admin Ref* (choose 1 if eligible) *Only available if all prerequisites have been met and the meet is approved for Final Evaluations. Recent Evaluations: (Met Standard or better, in previous 24 months) For re-certification at N2 or N3:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref (Choose all applicable) For Advancement towards N3:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref (Choose all applicable) For Final Evaluation as N3:  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref Evaluator Names for previous recertification and advancement evaluations above: Evaluation for :  FORMDROPDOWN   FORMDROPDOWN  Evaluators Name:  FORMTEXT       Evaluation for :  FORMDROPDOWN   FORMDROPDOWN  Evaluator s Name:  FORMTEXT       Evaluation for :  FORMDROPDOWN   FORMDROPDOWN  Evaluator s Name:  FORMTEXT       Evaluation for :  FORMDROPDOWN   FORMDROPDOWN  Evaluator s Na/0hu     U V ` a ͹͹͹ͨ}o\%jhd5CJUaJmHnHuhp/8hd0J5CJaJ&jhp/8hd5CJUaJjhd5CJUaJhd5CJaJhtz5CJaJhtzhfcN htzhtz h:5htzhtz5 htz5h;9ph~5B*phh:5B*phhj5B*phh;9phtz5B*ph01R  V 8 l $Ifgdtzgdtz$a$gdtz$a$gdjT 8 D F Z \ ^ h j v x    ۼۼ姝~to_tjhRh(5U hR5jhR5Ujh935UmHnHujh93h935Ujh935U h935jmh%;h935Ujh%;5UmHnHujh%;h935Ujh%;5U h%;5hfcN5CJaJhdhd5CJaJ  x nee $IfgdtzkdY$$IflF9 9 t06    44 layt%;   & ( < > @ J L P R f h j t v     $ & ׸׸׸׎yi׸joh93h935UjhRh(5U hR5 h%;5jh93h935U hfcN5jh93h935Ujh935UmHnHuj:h93h935Ujh935U h935jhR5UjhR5UmHnHu)x z V xxx $Ifgdtz}kd&$$Ifl09 t0644 layt93& . 0 D F H R T X Z ( . 0 D F H R T X ûåvbOv%jhGUc5CJUaJmHnHu&jhGUch~5CJUaJhR5CJaJhfcN5CJaJ&jhGUch~5CJUaJhGUc5CJaJjhGUc5CJUaJh#=WhGUc5h#=Wh<5h<5CJaJ h%;5jh935UmHnHujh93h935Ujh935U h935V X Z zlpnp%niiiiiiiiiiigdtzkd[$$IflF9 9 t06    44 layt%; X Z n p r | ~ "(*>@BLNRTh򹰧|nZnGn%jhR5CJUaJmHnHu&jb hGUchR5CJUaJjhR5CJUaJhfcN5CJaJ&jhGUch~5CJUaJjhGUc5CJUaJhGUc5CJaJh<5CJaJhR5CJaJ%jhR5CJUaJmHnHu&jhRh(5CJUaJhR5CJaJjhR5CJUaJhjlvx024>@DFZ\^´ ŽwcPގ<&j hRhR5CJUaJ%jhR5CJUaJmHnHu&j& hGUchR5CJUaJhR5CJaJjhR5CJUaJhR5CJaJhfcN5CJaJ&jN hGUchGUc5CJUaJjhGUc5CJUaJhGUc5CJaJ%jhR5CJUaJmHnHujhR5CJUaJ&j hRhR5CJUaJ^hj246@BFH\^`jlճǪ՞~jWޕC&j` hRhR5CJUaJ%jhR5CJUaJmHnHu&j hGUchR5CJUaJhR5CJaJjhR5CJUaJhR5CJaJhRhR5CJaJhfcN5CJaJ&j hGUchGUc5CJUaJjhGUc5CJUaJhGUc5CJaJjhR5CJUaJ%jhR5CJUaJmHnHu024>@DFZ\^hjpxjVjCj;h#=WhGUc5%jhR5CJUaJmHnHu&j$hRhR5CJUaJjhR5CJUaJ%jhR5CJUaJmHnHu&jhGUchR5CJUaJhR5CJaJjhR5CJUaJhR5CJaJhRhR5CJaJhfcN5CJaJjhGUc5CJUaJ&j hGUchGUc5CJUaJhGUc5CJaJKMNO]^_destux{|rc[hGUcCJaJhOhOCJOJQJaJ&jjhGUch~5CJUaJ&jhGUch~5CJUaJ&jhGUch~5CJUaJ&jhGUch~5CJUaJ&jhGUch~5CJUaJjhGUc5CJUaJhO5CJaJhGUc5CJaJhGUc5CJaJ# -./56DEFPQ_`ano}~um_hO5B*CJaJphhOCJaJhOhOCJOJQJaJ&jhGUchO5CJUaJ&j:hGUchO5CJUaJ&jhGUchO5CJUaJ&jRhGUchO5CJUaJ&jhGUchO5CJUaJjhO5CJUaJhO5CJaJ!  )*+567MOճ՟ՋzlZUP h#=W5 hO5#hOB*CJOJQJ^JaJphhOCJOJQJ^JaJ hOhOCJOJQJ^JaJ&j~hGUchO5CJUaJ&j hGUchO5CJUaJ&jhGUchO5CJUaJhO5B*CJaJphhO5CJaJjhO5CJUaJ&j"hGUchO5CJUaJNx  \z0H4H6H*I0IIJJdKLTTT T  gd;9pgd;9pgd~gdtz-./45CDEKLZ[\fguvwm^Rh#=WCJOJQJaJh#=Wh#=WCJOJQJaJ&jhGUch#=W5CJUaJ&jNhGUch#=W5CJUaJ&jhGUch#=W5CJUaJ&jfhGUch#=W5CJUaJ&jhGUch#=W5CJUaJjh#=W5CJUaJh#=Wh#=WCJaJh#=Wh#=W5CJaJh#=W5CJaJ  %&456CDRST`w{}nbh#=WCJOJQJaJh#=Wh#=WCJOJQJaJ&jhGUch#=W5CJUaJ&jhGUch#=W5CJUaJ&jhGUch#=W5CJUaJ&jhGUch#=W5CJUaJ&j6hGUch#=W5CJUaJh#=W5CJaJjh#=W5CJUaJh#=WCJaJ    \mn|}~խՙՍyqeqSeqeq#jJh~h~CJUaJjh~CJUaJh~CJaJh~CJaJh~CJOJQJaJh#=WCJOJQJaJ&jhGUch#=W5CJUaJ&jbhGUch#=W5CJUaJ&jhGUch#=W5CJUaJh#=W5CJaJjh#=W5CJUaJ&jzhGUch#=W5CJUaJ  02NPRTVrtvx  (ѿћщwe#jN h~h~CJUaJ#jh~h~CJUaJ#jh~h~CJUaJ#jLh~h~CJUaJ"jh~CJUaJmHnHu#jh~h~CJUaJh~CJaJh1CJaJjh~CJUaJ#jh~h~CJUaJ$(*,.RThjlvxHH HH H"H,H.H0H2H4H6HRHѿћщчuѭj_[h~h~h~CJaJh~h~CJaJ#j#h~h~CJUaJU#j"h~h~CJUaJ#jP"h~h~CJUaJ"jh~CJUaJmHnHu#j!h~h~CJUaJh~CJaJh1CJaJjh~CJUaJ#j h~h~CJUaJ#me:  FORMTEXT        Your Request:  FORMCHECKBOX  Sorry, cannot be accommodated  FORMCHECKBOX  Too many requests. Please apply again  FORMCHECKBOX  You are not eligible yet. Please work on it.  FORMCHECKBOX  Can be accommodated as follows: For re-certification at N2 or N3 as:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref For Advancement towards N2 or N3:  FORMCHECKBOX  S&T  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref For Final Evaluation as N3:  FORMCHECKBOX  CJ  FORMCHECKBOX  Starter  FORMCHECKBOX  Referee  FORMCHECKBOX  Admin Ref RHTHpHrHtHvHHHHHHHH I"I*I.I0I>I@I\I^I`IIIIIIIIJJ7JƺxtixtbYh;9p5CJaJ hfcNhfcNj%hfcNUhfcNjhfcNUh;9pCJaJ#j:%hfcNh1CJUaJjhfcNCJUaJhfcNCJaJh~CJOJQJaJh;9pCJOJQJaJh#=WCJOJQJaJj$h~Uh~h~CJaJjR$h~Uh~jh~U 7J8JFJGJHJMJNJ\J]J^JdJeJsJtJuJJJJJJJJJJJJJJJJJJJJK}i&jf(hGUch;9p5CJUaJh;9pCJaJ&j'hGUch;9p5CJUaJ&j~'hGUch;9p5CJUaJ&j 'hGUch;9p5CJUaJ&j&hGUch;9p5CJUaJ&j"&hGUch;9p5CJUaJh;9p5CJaJjh;9p5CJUaJ"KKK K KKKK'K(K6K7K8KEKFKTKUKVKcKdKKKKKKKKKKKKKKKKխՙՍykWk&j+hGUch;9p5CJUaJh;9p5B*CJaJph&j*hGUch;9p5CJUaJh;9pCJOJQJaJ&j6*hGUch;9p5CJUaJ&j)hGUch;9p5CJUaJ&jN)hGUch;9p5CJUaJh;9p5CJaJjh;9p5CJUaJ&j(hGUch;9p5CJUaJ"KKKKKKKKKKKLTTTTT T T1TTTճեvmdm[Oh#=Wh;9p5CJaJh;9p5CJaJh#=W5CJaJh;9p5CJaJ%jh;9p5CJUaJmHnHujh;9p5UmHnHuh;9ph;9pCJaJUh;9pCJOJQJ^JaJ&j,hGUch;9p5CJUaJh;9p5B*CJaJphh;9p5CJaJjh;9p5CJUaJ&j+hGUch;9p5CJUaJ  David Coleman, Team Lead CJ date Send Confirmation/Sorry to applicant. Send a copy of accepted applications to Evaluator(s). 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