VA Adaptive Coach Education Grant Application for Coach Observer Program

Question Title

* 1. Coach/Instructor Information

Full name of Coach/Instructor Applying

Email address

Phone number

City

State

USA Archery Membership Number

Question Title

* 2. Please list the archery programs you are involved in that work with Disabled Active Duty or Disabled Veterans:

Club/Program

Club/Program

Club/Program

Club/Program

Question Title

* 3. Please list the NAME AND ZIP CODE of the Active Duty or Disabled Veterans you are currently coaching(failure to provide this could prevent you from applying for this grant):

Athlete and Zip Code

Athlete and Zip Code

Athlete and Zip Code

Athlete and Zip Code

Question Title

* 4. Please list which Para Coach Observer Program you would like to attend if you receive the grant?

March 4-8, 2020 in Salt Lake City, UT

June 3-12, 2020 in Chula Vista, CA

Question Title

* 5. How many coaching sessions per week do you currently work with current disabled active duty military or disabled veterans?

1 or less per week

2-4 per week

5-7 per week

More than 7 per week

Question Title

* 6. By selecting "I agree" you acknowledge and confirm that the information presented in this grant application is true and accurate.