U.S. Figure Skating Judges Committee

Application for Teach and Judge Program

Full-time Undergraduate and Graduate College Students

The following application should be used by full-time undergraduate and graduate college students applying to teach and judge concurrently. This form is designed to be completed electronically. Use your tab key to navigate between the fields that need to be completed, and then type the information as usual. If you would prefer to complete the application by hand, you may do so by printing the application and writing in the requested information.

Make sure you complete all portions of the application and provide proof of enrollment. At the end of the quarter/semester, you are required to provide a copy of your transcript as proof that your full-time status was maintained for the duration of the quarter/semester.

Requirements / Application/Proof of Enrollment / Follow up at end of semester/quarter / Maximum Length of Participation in Program
Full-time undergraduate student
-or-
Full-time graduate student
Must meet the full time status as set forth by the institution where the student is enrolled / Apply to chair of judges committee and provide proof of enrollment within 15 days of the application
Student needs to complete a new application for each semester/quarter / Provide transcript to chair of judges committee to confirm full time status was maintained
In the event there is abuse of the program, subsequent applications will not be approved / 8 years maximum

Completed applications should be sent to the chair of the Judges Committee, Kathleen Harmon, at .


U.S. Figure Skating Judges Committee

Application for Teach and Judge

Full-time Undergraduate and Graduate College Students

Date:

Applicant’s Personal Information

Name: / Member #:
Address:
City: / State: / Zip:
Home Phone: / Mobile Phone:
Fax Number: / E-mail address:
Home Club: / Current Judging Appointment:
List the dates you have participated in this program:

Applicant’s College/University Information

Name of educational institution:
Address:
City, State Zip Code:
Please check status: Undergraduate Graduate Number of enrolled units:
Documentation
Proof of Enrollment: Date Received:
Chair’s Signature: Date:
End of Quarter/Semester Transcript: Date Received:
Chair’s Signature: Date:

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