Kevin Burnham Memorial Award Application

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

Applications/Nominations 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 Award Committee
Your Information
Name*

First NameLast Name
US Sailing ID*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Primary Phone*
Please enter a valid phone number.
Primary Email*
example@example.com
Names of parent(s) or guardian(s) [minors only]:
Are you nominating yourself or someone else?*
Nominee Information
If nominating another person other than yourself, please provide the Nominee's contact information. If nominating yourself, please leave blank; the information above should reflect your current contact information.
Full Name of Nominee
Nominee's US Sailing ID
Nominee's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Primary Phone
Please enter a valid phone number.
Nominee's Primary Email
example@example.com
Names of Nominee's parent(s) or guardian(s) [minor applicants only]:
Sailing Information
Type of boat Applicant/Nominee sails*
Applicant/Nominee's Hometown or Home Sailing Club*
Award Application Questions
Kevin was known for his passion, perseverance, persistence, sportsmanship on and off the water, love of the sport, and love of competitors. How does this sailor or team best exemplify these aspects of Kevin’s spirit?*
How does Kevin’s dedication to pursuing his goals inspire this sailor or team in their own sailing?*
Why do you believe this sailor or team should win this award?*
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 consent for my name and image to be used in various media if I am awarded the Kevin Burnham Memorial Award.*
Thank you for your application. The Award winner 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
Should be Empty:

Kevin Burnham Memorial Award

Your Information

Nominee Information

Sailing Information

Award Application Questions