4K for Cancer Rider Application - 2018
All riders are required to attend a mandatory 3 day orientation Thursday, May 31 - Saturday June 2nd, 2018 in Baltimore, MD. All rides will begin their 70 day journey on Sunday June 3rd, 2018 departing from Baltimore's Inner Harbor and will finish on Saturday, August 11th, 2018 in their respective destination cities.
Full name
Please provide us with your first and last name.
Your answer
Gender
Email
Please enter what email is best to reach you.
Your answer
Phone Number
Please enter what phone number is best to reach you.
Your answer
Date of Birth
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YYYY
Age on June 3rd, 2018
Participant age range is 18-25 years old.
Your answer
University/College
Please list what college or university you attend or have attended if applicable.
Your answer
Major
Please list your major if applicable.
Your answer
GPA
Please list your current or graduating GPA.
Your answer
Hometown (City, State)
Please list your hometown city and state.
Your answer
What is your connection to the cancer community?
Please respond in at least 100 words.
Your answer
Why do you want to be a rider with the 4K?
Please respond in at least 100 words.
Your answer
What positive addition will you bring to your cross-country team?
Please respond in at least 100 words.
Your answer
Essay Response - In 200 words or more, please describe how you live the Ulman Cancer Fund's values everyday.
Our values can be found here: http://ulmanfund.org/mission/
Your answer
What type of activities do you participate in to stay active?
Your answer
Please list all current or prior medical conditions and/or injuries that may affect your ability to complete this journey.
This response will not affect your chances of being selected for the 4K.
Your answer
Please list any dietary restrictions.
This response will not affect your chances of being selected for the 4K.
Your answer
Have you ever had your driver's license suspended or revoked
Have you ever been convicted of a felony?
Where did you hear about the 4K?
Please check all that apply
Required
If you we referred by a 4K Alumni, please enter their name below.
Your answer
Please provide us with one professional character reference (ex: teacher, employer, non-relative, not a 4K alumni).
Be sure to include his/her name, telephone number, e-mail address and your relationship to this individual.
Your answer
Comments
Please provide any additional comments you might have.
Your answer
Would you like to apply to hold a leadership position if you are accepted into the 4K for Cancer?
More information about leadership opportunities can be found here: http://4kforcancer.org/wp-content/uploads/2016/11/4K_leadershipGuide_reduced.pdf
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