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["BC Athletics Officials Upgrading Application for Level 3"]
[]
["Procedure for applicants:  Mail or scan your request to Cheryl Elke:"]
[null,"Mailing Address:  2397 Fleetwood Ave., Kamloops BC  V2B 4S8 ",null,null,null,null,null,null,"wcelke@shaw.ca"]
["Requirements for up-grading are listed in the Officials section of the BC Athletics website."]
[1,"Complete \"Applicant Information\" and \"Certification Requirements\" boxes."]
[2,"List even credits to be applied to this up-grading on the reverse of th"]
[]
["Applicant Information"]
["Name:",null,null,null,null,null,null,null,"BCA#:"]
["Address:"]
["Phone:",null,null,null,"Email:"]
[]
[]
["Attachments checklist"]
[null,"Photocopy/scan of record card"]
[null,"2 Photocopy/scans of 2 evaluation(mentoring) reports"]
[]
["Event Credits Record "]
["Please ensure that these credits are also listed on the attached photocopy/scan of your record card.  "]
["The record card provides an explanation of codes.  "]
["Date","Name of Meet",null,null,"Location of Meet",null,"Meet Level","Officials Capacity",null,"Credits"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[]
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["FOR OFFICE USE ONLY"]
[null,"Approved",null,"Not Approved",null,"Date:"]
["Approved by:"]
["Comments:"]
[]
[]
[null,null,null,null,null,null,null,null,null,"2017-02-21"]

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["Provincial"]
["National"]
["National Championship"]