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USA Archery National Elite Program - Athlete Application Form
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1.
Applicant Name:
(Required.)
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2.
Currrent Age:
(Required.)
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3.
Address
(Required.)
Address
City/Town
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Zip Code
Email Address
Phone Number
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4.
Gender
(Required.)
Male
Female
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5.
USA Archery Member Information
(Required.)
USAA Member Type:
USAA Member ID:
USAA Member Expiration Date:
U.S. Center for SafeSport Expiration Date:
USAA Background Screen Expiration Date:
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6.
U.S. Citizenship Verification
(Required.)
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.
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7.
Personal Coach Information
(Required.)
Coach Name
Coach Phone Number
Coach Email
Club Name
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8.
My MQS is
(Required.)
72 Arrow Qualification Round Score
Distance
Target Face Size
Tournament Name
Tournament Location
Tournament Date
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9.
As explained in the National Elite 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.
(Required.)
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. Please upload the scorecard to verify your MQS. A screenshot of your scorecard from www.betweenends.com or Ianseo will also be accepted.
Choose File
No file chosen
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10.
Please list the division you currently compete in:
(Required.)
Recurve
Para Recurve Open
Para Compound Open
Para W1
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11.
My Current NRS or USAT Rank is:
(Required.)
U18 Rank
U21 Rank
Para NRS Rank
Senior NRS Rank
I am not ranked
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12.
Are you a member of or have you participated in the National Elite U18 Program?
(Required.)
YES
NO
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13.
Are you a member of or have you participated in the Regional Elite Program?
(Required.)
YES
NO
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14.
List the date you are available to arrive in NC and begin training.
(Required.)
Arrival Date
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15.
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
(Required.)
AZ Cup
Gator Cup
SoCal Showdown
Buckeye Classic
Target Nationals
JOAD Target Nationals
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16.
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
(Required.)
National Target - Outdoor only
JOAD National - Outdoor only
*
17.
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
(Required.)
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:
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18.
ATHLETE TRAINING INFORMATION
How often do you meet with your personal coach?
(Required.)
Per week
Per Month
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19.
ATHLETE TRAINING INFORMATION
What is your current training schedule?
(Required.)
Current number of training days per week:
Current number of training hours per day:
Average Number of arrows shot per week:
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20.
ATHLETE TRAINING INFORMATION
Are 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)?
(Required.)
YES
NO
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21.
ATHLETE TRAINING INFORMATION
Are you willing and able to train 5+ days per week long-term?
(Required.)
YES
NO
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22.
ATHLETE TRAINING INFORMATION
How do you like to receive feedback from your coach?
(Required.)
*
23.
ATHLETE TRAINING INFORMATION
Are you willing to receive and give open and honest feedback?
(Required.)
YES
NO
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24.
ATHLETE TRAINING INFORMATION
How would you describe your ability to perform under pressure?
(Required.)
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25.
ATHLETE TRAINING INFORMATION
Do you consider yourself a team player?
(Required.)
YES
NO
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26.
ATHLETE TRAINING INFORMATION
How would you contribute to a positive high performance culture in alignment with the USA Archery High Performance Ethos?
(Required.)
*
27.
STRENGTH AND CONDITIONING
Please indicate below any strength and conditioning you participate in:
(Required.)
Cardio
Run
Bicycle
Row
Swim
Other (please specify)
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28.
STRENGTH AND CONDITIONING
(Required.)
Frequency of Exercise (days per week):
Average Length of Each Session:
Distance:
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29.
STRENGTH AND CONDITIONING
Do you currently participate in strength and conditioning on a regular basis?
(Required.)
YES
NO - If no, please be advised participation in strength and conditioning will be required.
*
30.
STRENGTH AND CONDITIONING
Weight Training
(Required.)
How often (days per week)
Length of Each Session
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31.
STRENGTH AND CONDITIONING
Would you be willing to follow the direction of a strength and conditioning coach?
(Required.)
YES
NO
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32.
Do you have any accessibility needs?
(Required.)
YES
NO
Para - Please also complete the Para Accessibility Survey
If yes, please list them
*
33.
Do you have any food allergies or dietary restrictions?
(Required.)
YES
NO
If yes, please list them
*
34.
Explain why you want to be selected for the National Elite Program:
(Required.)
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35.
Do you agree to abide by the USA Archery High Performance Ethos found
here?
(Required.)
I agree
I disagree
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36.
Do you agree to abide by the Minor Athlete Abuse and Prevention Policy found
here
?
(Required.)
I agree
I disagree
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37.
I understand if selected I must sign and abide by the National Elite Program Agreement to be admitted to the program for a try-out and/or remain in the program.
(Required.)
I agree
I disagree
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38.
I understand I will be responsible for all travel expenses to attend training in Charlotte, NC.
(Required.)
I Agree
I Disagree
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39.
I understand I must maintain a current USA Archery membership, background screen and U.S. Center for SafeSport training.
(Required.)
I agree
I disagree
40.
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 archer's entire body should be visible for proper form evaluation.
I understand I should submit a video of my shot cycle 30 seconds or less in length to highperformance@usarchery.org at time of application.
Yes
No
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41.
By selecting "I agree" you acknowledge and confirm that the information presented in this application is true and accurate.
(Required.)
I agree
I disagree
