Continuing Education | CE Requirements | Maximize Your CE | Report CE | CE Application

If you do not wish to fill out this application online, we've provided the following PDF version for you. Please print and complete the application and mail it back to us.

Please choose your Application Type:

16 Hour (2 day) Continuing Education Seminar

First Name:
Last Name:
Middle Init:
Street Address:
City:		State:	Please Select ----USA Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington D.C. ----Canada Alberta British Columbia Labrador Manitoba New Brunswick Newfoundland Nova Scotia NW Territories Ontario Price Edward Is Quebec Saskatchewan Yukon	Zip:
Home Phone:		Work Phone:
E-mail address:

* May we include the above contact information in the ROAP online directory of accredited racing officials?

YES    NO

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School You Will Attend: (list the city/year)		for:	Flat Racing   Harness
Are you accredited?	YES    NO
If yes, what type of racing?

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Check ALL positions for which you have been licensed by a racing commission:
HORSE	Owner   Jockey/Driver   Trainer   Racing Official   Steward/Judge   Track Management

List your experience in each of the fields you checked above.
Position	Track	Year(s) Held	# of live race days during that meet

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1. Have you read and/or do you have a working knowledge of the rules and regulations of racing?	YES   NO
2. Are you familiar with the duties and responsibilities required of each racing official?	YES   NO
3. Have you ever been ruled off a track, suspended, disciplined or denied a license by a state racing commission or turf-governing body?     If yes, explain:	YES   NO
4. Have you been convicted of a felony within the last 10 years?     If yes, explain:	YES   NO

5. List three (3) references actively involved in the racing industry:
Name	Address	Telephone Number

6. Letters of Reference: Horse Applicants - Enclose two (2) letters of reference, which must be from a racing commissioner, commission executive or steward, race track general manager or director of racing. Greyhound Applicants - Applicants currently employed as a steward/judge need only submit one letter of recommendation from their current employer. All other applicants must submit two (2) letters of reference which must be from a racing commissioner, commission executive race track general manager or director of racing.

7. Release of Liability: As express condition of participation in this Steward’s Accreditation Program, the undersigned hereby acknowledges that he/she assumes all risks inherent in the Program, including, but not limited to, possible adverse result for failure to receive accreditation, and all liability to third parties in the undersigned’s capacity as a track official, and hereby, jointly and severally, releases and discharges the American Quarter Horse Association, Association of Racing Commissioners International, The University of Arizona, Thoroughbred Racing Associations, The Jockey Club and all other organizations participating in presenting of the RCI Stewards Accreditation Program, their officers, employees, representatives and all others participating in the Program, from any and all such liability, whenever or however arising, including but not limited to personal injury and property damage to or alleged to be caused by the undersigned.

I hereby swear that all of the preceding information is true and correct to the best of my knowledge.

I hereby confirm that I have entered my electronic signature and, by transmitting this electronic document, I intend to submit my application form just as if I had signed and submitted it in writing.

Enter Your Name: Enter Your Birth Place (City/State):