Resident Athlete Program - Athlete Application Form Question Title * 1. Applicant Name: Question Title * 2. Currrent Age: Question Title * 3. Address Address City/Town State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip Code Email Address Phone Number Question Title * 4. Gender Male Female Question Title * 5. USA Archery Member Information USAA Member Type: USAA Member ID: USAA Member Expiration Date: U.S. Center for SafeSport Expiration Date: USAA Background Screen Expiration Date: Question Title * 6. U.S. Citizenship Verification I am a U.S. Citizen and can provide proof No, I am not a U.S. Citizen but I am eligible to compete for USA Archery per World Archery rules and I can provide proof. Question Title * 7. Personal Coach Information Coach Name Coach Phone Number Coach Email Club Name Question Title * 8. As explained in the Resident Athlete Program Guide, you must have obtained a minimum qualifying score (MQS) in the last 12 months. The score must be obtained at any United States Archery Team (USAT) or USA Archery sanctioned events listed as State, Regional or National or at a World Archery sanctioned event. Proof of obtaining the MQS must be submitted with your application via a link to a website of published scores, a copy of the published results, or a copy of a signed score card. Proof of obtaining the MQS must be submitted with your application via a link to a website of published scores, a copy of the published results, or a copy of a signed score card. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Proof of obtaining the MQS must be submitted with your application via a link to a website of published scores, a copy of the published results, or a copy of a signed score card. Question Title * 9. My MQS is 72 Arrow Qualification Round Score Distance Target Face Size Tournament Name Tournament Location Tournament Date Question Title * 10. Please upload the scorecard to verify your MQS. A screenshot of your scorecard from www.betweenends.com or Ianseo will also be accepted. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload the scorecard to verify your MQS. A screenshot of your scorecard from www.betweenends.com or Ianseo will also be accepted. Question Title * 11. Please list the division you currently compete in: Recurve Compound Question Title * 12. My Current NRS or USAT Rank is: U18 Rank U21 Rank Senior NRS Rank I am not ranked Question Title * 13. Are you a member of or have you participated in the National Elite or National Elite U18 Program? YES NO Question Title * 14. Are you a member of or have you participated in the Regional Elite Program? YES NO Question Title * 15. List the date you are available to arrive in Chula Vista, CA. Arrival Date Question Title * 16. List the results of all USAA USAT events you attended within the 12 months prior to the application being submitted:72 Arrow Round Score and Final Placement AZ Cup Gator Cup SoCal Showdown Buckeye Classic Target Nationals JOAD Target Nationals Question Title * 17. List the results of Senior and/or JOAD Target National events you attended within the 12 months prior to the application being submitted:144 Arrow Round Score and Final Placement National Target - Outdoor only JOAD National - Outdoor only Question Title * 18. List the results of any international events you were funded to or participated in within the last 12 months:72 Arrow Round Score and Final Placement World Cup 1 World Cup 2 World Cup 3 World Cup 4 World Cup Final World Championships Para World Championships Pan Am Championships Para Pan Am Championships Pan American Games Para Pan American Games Olympic Games Paralympic Games Junior Pan American Games Youth World Championships Youth Olympic Games World University Games Other WRE: Question Title * 19. ATHLETE TRAINING INFORMATIONHow often do you meet with your personal coach? Per week Per Month Question Title * 20. ATHLETE TRAINING INFORMATIONWhat is your current training schedule? Current number of training days per week: Current number of training hours per day: Average Number of arrows shot per week: Question Title * 21. ATHLETE TRAINING INFORMATIONAre you willing and able to shoot 1,500 to 2,200 arrows per week (note - arrow count will be scaled to match athletes ability per the athlete development model)? YES NO Question Title * 22. ATHLETE TRAINING INFORMATIONAre you willing and able to train 5+ days per week long-term? YES NO Question Title * 23. ATHLETE TRAINING INFORMATIONHow do you like to receive feedback from your coach? Question Title * 24. ATHLETE TRAINING INFORMATIONAre you willing to receive and give open and honest feedback? YES NO Question Title * 25. ATHLETE TRAINING INFORMATIONHow would you describe your ability to perform under pressure? Question Title * 26. ATHLETE TRAINING INFORMATIONDo you consider yourself a team player? YES NO Question Title * 27. ATHLETE TRAINING INFORMATIONHow would you contribute to a positive high performance culture in alignment with the USA Archery High Performance Ethos? Question Title * 28. STRENGTH AND CONDITIONINGPlease indicate below any strength and conditioning you participate in: Cardio Run Bicycle Row Swim Other (please specify) Question Title * 29. STRENGTH AND CONDITIONING Frequency of Exercise (days per week): Average Length of Each Session: Distance: Question Title * 30. STRENGTH AND CONDITIONINGDo you currently participate in strength and conditioning on a regular basis? YES NO - If no, please be advised participation in strength and conditioning will be required. Question Title * 31. STRENGTH AND CONDITIONINGWeight Training How often (days per week) Length of Each Session Question Title * 32. STRENGTH AND CONDITIONINGWould you be willing to follow the direction of a strength and conditioning coach? YES NO Question Title * 33. Do you have any accessibility needs? YES NO If yes, please list them Question Title * 34. Do you have any food allergies or dietary restrictions? YES NO If yes, please list them Question Title * 35. Explain why you want to be selected for the Resident Athlete Program: Question Title * 36. Do you agree to abide by the USA Archery High Performance Ethos found here? I agree I disagree Question Title * 37. Do you agree to abide by the Minor Athlete Abuse and Prevention Policy found here? I agree I disagree Question Title * 38. I understand if selected I must sign and abide by the Resident Athlete Program Agreement to be admitted to the program for a try-out and/or remain in the program. I agree I disagree Question Title * 39. I understand I will be responsible for all travel expenses to attend training in Chula Vista, CA. I Agree I Disagree Question Title * 40. I understand I must maintain a current USA Archery membership, background screen and U.S. Center for SafeSport training. I agree I disagree Question Title * 41. I understand I will be responsible to submit a video of my shot cycle via email to highperformance@usarchery.org at time of application submission.Video Submission Purpose:Archers will be evaluated on their shot process and have their video reviewed by the USA Archery National Coaching Staff. Archers will be assessed on shot process control, perceived back tension, execution (release), follow through and mental focus. The video should show the archer's whole body so the shot cycle can be properly evaluated.I understand I should submit a video of my shot cycle that is 30 seconds or less at time of application to highperformance@usarchery.org. Yes No Question Title * 42. By selecting "I agree" you acknowledge and confirm that the information presented in this application is true and accurate. I agree I disagree Done