Purpose: to financially assist junior orienteers from the Orienteering Cincinnati area with the costs of travel and entry fees for major national and international competitions and training opportunities.
Personal Information:
Name ______________________________________________________________
Street Address ____________________________________________________________
City, State, Zip ____________________________________________________________
Home telephone (_________)_________-___________ Date of birth __________________
E-mail Address ______________________________________________________________
Parents or Guardians Names _____________________________________________________
Event for which grant is requested:
Name of Event ___________________________ Date(s) of Event _____________________
Location of Event ______________________________________________________________
Estimated transportation costs $_________ Estimated lodging costs $_________
Entry Fees $_________ Other expenses (specify) $_________ ________________________
Orienteering Background:
What course(s) are you currently running at events? ______________________________________
_____________________________________________________________________________
When did you first start orienteering? _________________________________________________
Briefly tell about your recent performances at OCIN or other nearby local events._____________
________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Briefly tell about any major national / regional events you have attended in the last year.__________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Briefly describe any recent volunteer work for OCIN or other orienteering clubs. _______________
_________________________________________________________________________________
_________________________________________________________________________________
What do you do for training outside of competition? Include details and frequency of training.
_________________________________________________________________________________
_________________________________________________________________________________
Why do you orienteer? __________________________________________________________
_________________________________________________________________________________
Competition Goals:
What are your goals in attending this event? ___________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
What are your orienteering goals over the next year or more? _____________________________
_________________________________________________________________________________
_________________________________________________________________________________
Why are you seeking a grant to attend this event? _____________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Waiver / Signature:
If I receive a grant, I understand that it is to be used for my expenses related to participation in the event named above. Expenses can include entry fees, transportation and lodging costs. If I do not attend and participate fully in the event named, I hereby promise to repay the amount of the grant to Orienteering Cincinnati. I certify that the information I have provided above, and answers to any questions from the grant committee, is true and accurate to the best of my knowledge and ability.
Name (print) ________________________________________________
Signature ________________________________________________
Parent or Guardian (print) ________________________________________________
Parent or Guardian Signature ________________________________________________
Date of application _________________________
Mail application to: Mike Minium, 6797 Stillwell Beckett Rd, Oxford,
OH 45056-8870. You may also e-mail (plain text or rtf format) to
mikeminium@aol.com
rev. 12-30-2004