2019 Global Relay Bridge the Gap Athlete Application
Name *
Your answer
Gender *
Contact Email *
Your answer
Contact phone number *
Your answer
Age as of Dec. 31 2019 *
Your answer
Home Town *
Your answer
Main Training Town *
Your answer
2018 Team *
Your answer
2019 Team *
Your answer
Personal Website
Your answer
Twitter Handle
Your answer
Instagram Handle
Your answer
Are you affiliated with a Youth Cycling Club *
If affiliated with a Youth Cycling Club, which one?
Your answer
Are you, or have you ever been Sport Canada Carded (including injury cards)? *
If ever carded, in what year(s)?
Your answer
Did you qualify for Carding support in 2019? *
Please list your sources of income/funding for 2019. *
Your answer
Coach’s Name
Your answer
Coach's Email
Your answer
Do you pay for coaching? If yes, please indicate how much per year or free, if no leave blank.
Your answer
Please list your top 5 results from 2017 *
Your answer
Please list your top 5 results from 2018 *
Your answer
In your own words, please express to the selection committee why you are seeking funding from the Global Relay Fund. In your answer please indicate how you would spend a $5,000 grant. *
Your answer
Please explain what you think are the 3 biggest barriers to you earning a living wage on a professional road cycling team in the next 2 years. For each, how you do you plan on addressing them? Please list only factors that you have some control over personally (ie don't list "there aren't enough spots on teams") *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service