CIVILIAN MARKSMANSHIP PROGRAM (CMP)
RANGE OFFICER TRAINING COURSE
LEVEL I
APPLICATION FORM
INTRODUCTION. The CMP Range Officer Training Course is a program to recruit
and train interested persons to serve as highly qualified Range Officers and Match
Officials in CMP sanctioned competitions. Level I training - a home study and online
exam phase that covers topics common to the work of all Range Officers and Match
Officials. Individuals will receive a student handbook and online exam instructions.
Level II training - one-day, in person instructional programs that are offered for four
CMP shooting disciplines: Highpower Rifle, Bulls-Eye Pistol, Rimfire Sporter,
Smallbore and 3-Position Air Rifle at various locations throughout the year. Level III
training - involves serving as a Range Officer under the supervision of a CMP Master
Range Officer at a CMP sanctioned competition. Individuals who complete Level I
will receive a CMP Range Officer training certificate, CMP Range Officer vest and
information for Level II training. There is a course fee of $75.00 for the Level I CMP
Range Officer Training course.
If you are interested in becoming trained and certified to serve as a Range Officer or Match
Official in CMP competitions, the CMP invites you to complete this application and become part
of this important training program.
If you have any questions about the CMP Range Officer Training Program, please contact
Kim Filipiak: 419-635-2141 ext. 706 or kfilip[email protected].
First Name:
Last Name:
Street Address (or Mailing Address):
City:
State:
Zip Code:
Phone:
Email:
DOB:
(Must be 18)
Range Vest Size:
CMP Competition No. (if you do not have a CMP number, CMP will assign a new number):
Level I Online Range Officer Course
CMP Staff Only: Handbook _________ Date of Completed Exam__________
Certificate_________ Range Officer Vest_________
Information For Level II_________
Primary Shooting Discipline Interests. Please check all that apply:
Highpower Rifle Bulls-Eye Pistol
Rimfire Sporter Rifle Smallbore
3-Position Air Rifle
Other, please describe: ___________________________________________________
______________________________________________________________________
Prior Match Official Experience: If you have previously served as a Range Officer or Match
Official in organized rifle or pistol competitions, please provide a brief description (prior match
official experience is not required to apply):
Prior Competition Experience. If you have prior experience as a competitive shooter, please
provide a brief description of the discipline or events and the level at which you competed (prior
competition experience is not required to apply):
Payment of Course Fee:
Please indicate how you wish to pay the course enrollment fee of $75.00.
PAYMENT INFORMATION:
Credit Card: Visa Discover Master Card AMEX Check #__________
Card Number:______________________________Expiration:___________CVV2#:__________
Card Holder Name:______________________________________________
Card Holder Signature:___________________________________________
By signing below, I certify that I am not prohibited by any federal, state or local law,
ordinances or regulations from possessing, purchasing, using or owning firearms and/or
ammunition. I also validate that the information provided on this form is true to the best of
my knowledge.
Signature:
Date:
When completed, please return this form to P.O. Box 576, Port Clinton, OH, 43452,
Attn: Kim Filipiak. You may also email the form to kfilipiak@thecmp.org.
Thank you for your application to participate in the CMP Range Officer Training Program and become part of the corps of CMP
certified Range Officers.