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VA Adaptive Coach Education Grant Application for Virtual Symposium
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1.
Coach/Instructor Information
(Required.)
Full name of Coach/Instructor Applying
Email address
Phone number
City
State
USA Archery Membership Number
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2.
Please list the archery programs you are involved in that work with Active Duty or Disabled Veterans:
(Required.)
Club/Program
Club/Program
Club/Program
Club/Program
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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):
(Required.)
Athlete and Zip Code
Athlete and Zip Code
Athlete and Zip Code
Athlete and Zip Code
*
4.
Please list select the grant you are applying for?
(Required.)
VA Adaptive Coach Grant for USA Virtual Symposium
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5.
How many coaching sessions per week do you currently work with current disabled active duty military or disabled veterans?
(Required.)
1 or less per week
2-4 per week
5-7 per week
More than 7 per week
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6.
By selecting "I agree" you acknowledge and confirm that the information presented in this grant application is true and accurate.
(Required.)
I agree
I disagree
