WFTDA Application for NSO Certification & Endorsement
WFTDA Application for NSO Certification & Endorsement
WFTDA Application for NSO Certification & Endorsement
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Section 3: <strong>Certification</strong> <strong>Endorsement</strong>s<br />
Please check the boxes that apply. Appropriate supplemental documents must also be submitted in order <strong>for</strong> this application to be<br />
considered complete. Applicant must have Level 2 <strong>NSO</strong> <strong>Certification</strong> or higher to be eligible.<br />
Not Applicable:<br />
Applying <strong>for</strong> certification<br />
only<br />
Head <strong>NSO</strong> (H<strong>NSO</strong>):<br />
Verification of passed<br />
Head <strong>NSO</strong><br />
<strong>Endorsement</strong> Rules<br />
Test<br />
Three (3) Head <strong>NSO</strong><br />
Per<strong>for</strong>mance<br />
Evaluation <strong>for</strong>ms from<br />
<strong>WFTDA</strong> member<br />
leagues<br />
Proof of <strong>WFTDA</strong> <strong>NSO</strong><br />
<strong>Certification</strong><br />
Penalty Tracking (PT):<br />
Verification of passed<br />
Penalty Tracking <strong>NSO</strong><br />
<strong>Endorsement</strong> Rules Test<br />
Twelve (12) Penalty<br />
Tracking <strong>NSO</strong><br />
Per<strong>for</strong>mance Evaluation<br />
<strong>for</strong>ms from <strong>WFTDA</strong><br />
member leagues. The<br />
Twelve (12) evaluations<br />
must include a minimum<br />
of Three (3) Penalty<br />
Tracker Per<strong>for</strong>mance<br />
Evaluations, Three (3)<br />
Penalty Wrangler<br />
Per<strong>for</strong>mance<br />
Evaluations, Three (3)<br />
Inside White Board<br />
Per<strong>for</strong>mance<br />
Evaluations, and Three<br />
(3) Outside White Board<br />
Per<strong>for</strong>mance Evaluations<br />
Proof of <strong>WFTDA</strong> <strong>NSO</strong><br />
<strong>Certification</strong><br />
© 2012 Women's Flat Track Derby Association (<strong>WFTDA</strong>)<br />
Penalty Management (PM):<br />
Verification of passed<br />
Penalty Management<br />
<strong>NSO</strong> <strong>Endorsement</strong> Rules<br />
Test<br />
Nine (9) Penalty<br />
Management <strong>NSO</strong><br />
Per<strong>for</strong>mance Evaluation<br />
<strong>for</strong>ms from <strong>WFTDA</strong><br />
member leagues. The<br />
Nine (9) evaluations must<br />
include a minimum of<br />
Three (3) Penalty Box<br />
Manager Per<strong>for</strong>mance<br />
Evaluations, Three (3)<br />
Penalty Box Timer<br />
Per<strong>for</strong>mance<br />
Evaluations, and Three<br />
(3) Lineup Tracker<br />
Per<strong>for</strong>mance Evaluations<br />
Proof of <strong>WFTDA</strong> <strong>NSO</strong><br />
<strong>Certification</strong><br />
Section 4: Bout Experience Requirements<br />
Score and Timing (ST):<br />
Verification of passed<br />
Score and Timing <strong>NSO</strong><br />
<strong>Endorsement</strong> Rules Test<br />
Nine (9) Score and<br />
Timing <strong>NSO</strong><br />
Per<strong>for</strong>mance Evaluation<br />
<strong>for</strong>ms from <strong>WFTDA</strong><br />
member leagues. The<br />
Nine (9) evaluations must<br />
include a minimum of<br />
Three (3) Scorekeeper<br />
Per<strong>for</strong>mance<br />
Evaluations, Three (3)<br />
Scoreboard Operator<br />
Per<strong>for</strong>mance<br />
Evaluations, and Three<br />
(3) Jam Timer<br />
Per<strong>for</strong>mance Evaluations<br />
Proof of <strong>WFTDA</strong> <strong>NSO</strong><br />
<strong>Certification</strong><br />
Please submit with this application a bout resume that lists as many bouts as possible; <strong>for</strong> each bout, include:<br />
• The date of the bout<br />
• Whether it was <strong>WFTDA</strong> Regulation, Sanctioned, or Tournament play, your position, witness or contact person and their<br />
o E-mail or phone number<br />
• Name of the Head Referee, Head <strong>NSO</strong>, Tournament Head Referee or Tournament Head <strong>NSO</strong>, and the participant teams<br />
(e.g. Carolina All-Stars vs. Tucson, Copper Queens)<br />
• When submitting this resume, please give it an appropriate name<br />
o (e.g. “Keanu Heaves_Level_1_John_Smith.pdf”).<br />
1<br />
2<br />
3<br />
Name League Affiliation<br />
Section 5: Letters of Recommendation (Levels 4 and 5 Only)<br />
Contact In<strong>for</strong>mation (e-mail address and/or phone number) Verified by (<strong>WFTDA</strong> Committee use only)<br />
Name League Affiliation<br />
Contact In<strong>for</strong>mation (e-mail address and/or phone number) Verified by (<strong>WFTDA</strong> Committee use only)<br />
Name League Affiliation<br />
Contact In<strong>for</strong>mation (e-mail address and/or phone number) Verified by (<strong>WFTDA</strong> Committee use only)<br />
Role<br />
Role<br />
Role