International Ranking of Unicycling SkillTester ApplicationPlease complete this application and submit it to the 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: (Check each division you plan to test) _______Base Intermediate: _______Artistic _______Juggling _______Pairs _______Tall _______Technical _______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, 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!
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