Dear MCJA:

have recently completed an introductory course, and have not previously judged, so I am submitting the following as completion of my mentoring requirement. Please update my status on the official's roster.

Official's Name _______________________________________________

Phone ______________________________________________________

Address ____________________________________________________

Date & Location of Introductory Class _____________________________

Mentor's Name ______________________________________________

Competition _________________________________________________

Location ____________________________________________________

Date ______________________________________________________

Certification Category (Please circle one) ______Panel _______Safety

By signing below, I, as mentor, do hereby believe that the above named applicant is duly qualified to be certified in the category denoted above. I have observed this person judge, shared thoughts and opinions regarding judging, and agree that the applicant meets or exceeds any and all standards for judges defined by MCJA.

Mentor's Signature

_______________________________Date_________________

Mentee's Signature

______________________________Date__________________

.....................................................................................................................

Dear MCJA:
{ } I have recently completed an introductory/update course at ______________________________________________________________

{ } I judged three competitions within the last year (must have three to opt out of mentoring)

1) Competition/Location _______________________________ Date (m/yr)_______________

2) Competition/Location _______________________________ Date (m/yr)_______________

3) Competition/Location _______________________________ Date (m/yr)_______________

Official's Name _________________________________________________________________

Number of years you have judged _________________________________________________

Address_______________________________________________________________

Phone (Day) ___________________________

Phone (Evening) ________________________

Official's Signature ____________________________________Date_____________________________

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{ } YES! I am willing to serve as a mentor to new officials! Safety _______________________ Panel _______________

Name ________________________________________________________

Phone (Day)_________________________

Address ___________________________________________