Jamie Shaw Memorial Fund:Coach Funding SECTION 1: PERSONAL INFORMATION FULL NAME OF APPLICANT: * ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country PHONE # * Country (###) ### #### EMAIL * DATE ON WHICH YOU BECAME A YUKON RESIDENT (DD/MM/YY) SECTION 2: ATHLETIC PLAN NAME OF YUKON SPORT GOVERNING BODY * NUMBER OF YEARS COACHING THIS SPORT * WHAT KIND OF TRAINING ARE YOU SEEKING * SECTION 3: INTERVIEW DATE All coaches will be contacted for an interview before bursary is handed out Thank you!