TACOMA-PIERCE COUNTY VOLLEYBALL OFFICIALS BOARD
Rating Request Form

I,   would like to be considered for my rating.
Email: Phone: Cell Phone:

CERTIFIED/NCAA LOCAL CRITERIA

I have officiated Junior High matches:
1. Date 2. Date 3. Date 4. Date 5. Date
I have officiated AA or A/B High School matches as 2nd referee:
1. Date 2. Date 3. Date 4. Date 5. Date
I have officiated AA or A/B High School JV matches as 1st referee:
1. Date 2. Date 3. Date 4. Date 5. Date

CERTIFIED/NCAA STATE CRITERIA

I have officiated AAA or AA High School matches as 1st referee:
1. Date 2. Date 3. Date 4. Date 5. Date
I have officiated AAA or AA High School matches as 2nd Referee:
1. Date 2. Date 3. Date 4. Date 5. Date
I have officiated Intercollegiate matches as 2nd referee:
1. Date 2. Date 3. Date 4. Date 5. Date

Theoretical Exam
State min. 82
Local min. 76

I have/have not passed my exam on (date) score

Practical Exam
State min. 85
Local min. 80

I have/have not passed my exam on (date) score
You have met/have not met observation with a successful report.
You have met/have not met requirements to be rated for
Board Member:     Date:


Address: 9908 63rd Ave Ct E., Puyallup, WA 98373    |    Phone: 253-848-1360    |    Fax: 253-848-3317    |    Cell: 253-677-2872
© 2018 Tacoma - Pierce County Volleyball Officials Board. All rights reserved.