Kevin Burnham Memorial Grant Application

Kevin Burnham Memorial Grant
The information provided on this form will be used by the Kevin Burnham Memorial Grant selection committee to assist in their decision-making.

All applications must be submitted online by 5 PM EDT on October 31, 2024.

If submitting by mail, the application materials must be postmarked on or before October 31, 2024. Please mail to: US Sailing, 1 Roger Williams University Way, Bristol, RI 02908 Attn: Burnham Grants Committee
Your Information
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
US Sailing ID*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Names of parent(s) or guardian(s) [minors only]:
Sailing Information
Which Olympic Class do you compete in?*
What is your Olympic Development Program Status?*
What is your status as a representative of the United States in international sailing competition?*
Your Hometown or Home Sailing Club*
Grant Application Questions
Please answer the below essay questions in 1,000 words or less.
Tell us about yourself and how much funding you are requesting.*
Tell us precisely how you intend to spend the funds; the difference this expenditure will mean to you; and the outcome you expect to realize.*
Tell us how this Grant will contribute to your overall Olympic Campaign and/or sailing dreams and aspirations.*
Please list any notable sailing achievements:
Please attach your sailing resume and any other relevant materials.*

Cancelof
I certify that all information and statements made on this application are true to the best of my knowledge. I understand that I may be asked to provide supporting documentation upon request. If selected, I consent to submit an IRS form W-9.*
I consent for my name and image to be used in various media if I am awarded the Kevin Burnham Memorial Grant.*
Reporting Responsibility:
- After the funds are spent and before the one-year anniversary of your receipt of the Grant, the recipient(s) shall be required to submit a report to the US Sailing Foundation demonstrating that the funds awarded were spent as agreed in accepting the Grant; detailing if the fund expenditure caused the result the recipient was expecting; and where in pursuit of their Olympic Campaign and/or sailing dreams and aspirations the recipient is now.
- Failure to submit a complete report on time will result in a requirement to return the funds.
- A complete report must be submitted before reapplying for this Grant in a subsequent year.
If selected, I agree to submit a report to the US Sailing Foundation as outlined above.*
Thank you for your application. Grantees will be selected in November and notified in December.

If you have any questions about this application, please call (401) 342-7900 or email info@ussailingfoundation.org
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Kevin Burnham Memorial Grant

Your Information

Sailing Information

Grant Application Questions