NROI Level One Junior Endorsement

Student Endorsement Form

For Junior enrollment in NROI Level One Seminars
Student Name *

First Name Last Name
USPSA Number *
Birth Date *

Month Day Year
Student E-mail *
Your Name *

First Name Last Name
USPSA Number *
What's your NROI certification? *

Range Officer Chief Range Officer Range Master Range Master Instructor
How long have you been certified? *
Your E-mail *
Relationship to Student *

Coach Club Admin Teammate Casual Observer Friend of Family Club Member
How long have you known this person? *
Mobile Number *

Area Code Phone Number
Which Seminar? (Actual Name of Seminar/Location) *
Please use the name of the seminar from our system, e.g., Action Jackson RO Seminar, not just Level One.
Do you feel the student is assertive enough to be a Range Officer? *
Would you feel comfortable having the student RO you? *
Do you have any reservations about recommending this student? *
Which of the following type matches would you feel comfortable having this student RO? (With adult supervision, of course.) *

Local Match (L1) Section Match (L2) Area Match (L3) Nationals
Comments on the answers above
Please expand on your answers, if you feel it necessary.
Should be Empty:

Student Endorsement Form