Please
complete this application and submit it to the Unicycling Skill Testing
Committee, Carol McLean, 3487 Vivian Ave., Shoreview, MN 55126-3851, or send
this information via e-mail to unicyclecentral@hotmail.com.
Name__________________________________________
Phone:_____________________
Address_________________________________________________________________
City__________________________________________
State___________ Zip__________
E-mail address:________________________________________________________________________
You
must list an active e-mail address so you can be reached for any updates on
skill testing. Your e-mail address also will be posted on the web
site, if you indicate below that you are willing to be contacted to do skills
testing. Your e-mail address will not be provided as a direct link, to provide
more security against unsolicited e-mail messages. (For example: it would be
listed as “name at hotmail dot com.”)
Club
affiliation, if
any_______________________________________________________________
Age (if under 18) ____________
Tests you will give: (Circle each division you plan to test) Base _________
Intermediate: Artistic Tall Technical Juggling Pairs U-Wheel
Advanced: Artistic
Trained by _________________________
List training and experience
_____________________________________________________
__________________________________________________________________________
Do
you want to be listed on the web site as a skills tester?
Yes_____
No_____
If so, your e-mail address will be provided so riders can contact you to set up testing. Your home address and phone number will not be provided.
Have
you read all testing rules and guidelines provided in the Unicycling Skill
Testing Handbook? _______
Please
indicate your agreement to follow all testing rules and the conditions listed below
by signing this form.
1.
I understand the testing rules and guidelines provided for the skill tests I
agree to administer.
2.
I will follow the testing rules without altering them in any way, such as by
making skills tests easier or more difficult.
3.
I understand that failure to test according to the rules provided will result in
being removed as a certified skills tester.
4.
I agree to provide information on all successful skills tests to the database
on a timely basis.
5.
I agree to offer my services as a skills tester without charging a personal fee
or for any other personal gain.
Signature
__________________________________________________ Date__________________________
If
you have any questions or concerns, please contact the Skill Testing Committee.
When your application is accepted, you will be added to the list of
certified skills testers. You will be asked to renew your certification
periodically. If you want to change your listing in any way, please
contact the Skills Testing Committee.
Thank
you for volunteering to serve as a skills tester!