Individual Athlete Grant Application Form Please complete the following form to the fullest extent possible to apply for an Individual Coaches Grant. Full Name * First Name Last Name Email * Phone * (###) ### #### Address * What Ski Club are you affiliated with? * Primary Coach's Name * Primary Coach's Phone # * Primary Coach's Email * Birth Year - Age Level This Season * USSS # * FIS # Current USSS DH Points or XC Overall Points Current USSS SL Points or XC DI Points Current USSS GS Points or XC SP Points Current USSS SG Points (If XC Athlete, Enter 999.99) What are your competitive Goals for the Season? * Purpose of Grant - why are you seeking funding - share what competition or camp you will be attending and where. Include projected cost of trip. * Additional Personal Information Parent A * Parent A Address * Parent A Phone * Parent A Email * Parent A Employer Name * Parent B * Parent B Address Parent B Phone * Parent B Email * Parent B Employer Name * Annual Parental Income * Additional Family Information (share any insight or circumstance that informs your grant request) Thank you!
