Orienteering Cincinnati
Joel Rauschenbach Memorial Junior Fund Grant Application

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
 

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