IROA Online Application

Step 1 — Fill in the application form below.

To open a window that describes all the fields in the form, click here.

Please Note: Do not use a Compuserve or AOL email address. Emails sent to these addresses by IPSC are rejected by their servers.

IROA Online Application
I am applying to join the IROA fellowship of International Officials: "The Best of The Best" Please select the discipline* for which you are applying*
Stats	Handgun	Rifle	Shotgun	Air

Identification Information (Fields in bold are required)
First Name:
Last Name:
Date of Birth:	- -
Mailing Address Line 1:
Mailing Address Line 2:
City:
State/Province:
ZIP/Post Code:
Country:
Phone:
Email Address:
Shirt Size:

Current National Certification
Stats Officer:
Handgun:	RO CRO RM No
Rifle:	RO CRO RM No
Shotgun:	RO CRO RM No
Air:	RO CRO RM No

Level I Range Officer Seminar Please provide the year, location and instructor
Year:	Location:
	Instructor:

	Region	Year	Month	Role	Match Name and Location
Level III Match Experience
Please identify the most recent 5 Level III sanctioned matches that you have worked
1
2
3
4
5

Other Qualifications
Other than "on the job" experience, please describe any formal training that you have had as an IPSC official:

	Name	Email Address
IPSC References Please list 3 IPSC references and their email addresses
1
2
3

Strengths Please list three of your strengths as a Range Official
1
2
3

Additional Information
Are you available to travel to large International Matches?	Yes No
Are you fluent enough in English to give the IPSC range commands and a complete stage briefing without difficulty?	Yes No
What other languages do you speak?
Why do you want to join the IROA fellowship of International Officials?

Press Submit to proceed to step 2

Please press the Submit button once only.

Last modified: Thursday, January 01 2009 at 10:30:35 EST