Jamie Shaw Memorial Fund:Athlete Funding SECTION 1: PERSONAL INFORMATION FULL NAME OF APPLICANT: * ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country DATE OF BIRTH * MM DD YYYY EMAIL * PHONE # * Country (###) ### #### DATE ON WHICH YOU BECAME A YUKON RESIDENT (DD/MM/YY) * ARE YOU A STUDENT? * Yes, I am a student. No, I am not. EDUCATIONAL INSTITUTION YOU WILL BE ATTENDING THIS YEAR * SECTION 2: ATHLETIC PLAN NAME OF YUKON SPORT GOVERNING BODY * NAME OF COACH(ES) * NUMBER OF YEARS PLAYING THIS SPORT * ON AVERAGE, HOW MANY HOURS DO YOU TRAIN EACH WEEK? * HIGHLIGHT YOUR SPORT TRAINING PROGRAM FOR THE PREVIOUS SEASON * SECTION 3: ACHIEVEMENTS & GOALS LIST YOUR SIGNIFICANT ATHLETIC ACHIEVEMENTS TO DATE * WHAT ARE YOUR ATHLETIC GOALS OVER THE NEXT THREE YEARS * TELL US WHY YOU WANT TO ATTEND THIS TRAINING CAMP, TRYOUT, COMPETITION OR ACCESS PHYSICAL TRAINING * SECTION 4: FINANCIAL NEED GIVE US A BRIEF OVERVIEW OF HOW THIS MONEY WILL HELP YOUR TRAINING/PROGRESSION * SECTION 5: PLANS TO GIVE BACK TO YUKON SPORT PLEASE TELL US HOW YOU HOPE TO GIVE BACK TO YOUR SPORT THROUGH VOLUNTEERING OR COACHING * Thank you!
