Athlete Endowment Grant Application 2016 - USA Shooting

0 downloads 222 Views 226KB Size Report
and coaches are eligible to apply and advocate on behalf of an athlete. Last Name. First Name. Birthdate. Street Address
Athlete Endowment Grant Application 2016 USA SHOOTING ATTN: Athlete Endowment Grant Committee 1 Olympic Plaza Colorado Springs, CO 80909

Phone (719) 866-4883 Fax (719) 866-4884 [email protected] Background and purpose of the Athlete Endowment Grant: USA Shooting, the Bunker Club, and other dedicated supporters established the USA Shooting Endowment Fund to create a reliable and predictable cash flow to fund developing athletes to ensure that United States teams remain strong in the face of increasing competition from other countries. The Endowment Grant Committee will prioritize support for athletes that are not yet supported on US Teams but are showing strong future potential. The Grant Committee will consist of two USA Shooting coaches, the Director of Operations, an Endowment Committee member, and an athlete representative. We expect the grant pool to increase yearly as the endowment grows. Instructions: Please complete the application below. Use additional pages if necessary. Fax, mail, or email in. The grant application deadline is April 25, 2016. Grant awards will be announced and awarded on or before May 9, 2016. Individual athletes may apply and coaches are eligible to apply and advocate on behalf of an athlete. Last Name First Name Birthdate Street Address City State

Zip Code

Email Address Phone USAS Member # (Req) Club/Program Name Where do you train? Coach's Name Past Event Information: Event, Score: Event, Score: Event, Score:

What is your current skill level (recent scores) in your events?

Events: (Check or Circle)

Rifle: Pistol: Shotgun:

Air Rifle:

Smallbore:

Prone:

Air Pistol:

Free Pistol:

Sport Pistol:

Trap:

Skeet:

DBL Trap:

Paralympic: Rapid Fire:

Have you competed in the USAS National Junior Olympic Championships or USA Shooting National Championships? Please list years and placing. Junior Olympics: USASNC: USAS Selection Matches: USAS Classification: What are your shooting goals? Please describe both short term (1 year) and longer term (1 year+).

What need(s) can an Endowment Grant directly address for you and help you move forward to achieve your goals? Athletes have many unique needs that can include ammunition, range fees and access, guns and other gear, transportation, and match expenses as examples. Please estimate costs. Use additional pages if needed. Please also include a picture with your application.

Name: Signature: Date: Coach Signature:

Endowment Application V 03.03.09