USAA-AZ Judge Grant Request Form

USA Archery Arizona is pleased to announce our Judge/Officials Grant Program established in 2019 in an effort to support the continuing education and development of judges within the Arizona archery community. We want to acknowledge and thank the AZ Cup committee, volunteers and participants, as well as the Arizona JOAD progams that have helped make the funding for these grants possible.

Eligibility requirements for consideration of the grant are determined based on the following criteria being met.

Judge/Official must be a current USA Archery member with Arizona listed as state of residency and in good standing.
Current Judge Certification, in good standing, within USA Archery & has met all SafeSport & Background check requirements.
Judges considered will be required to have received preapproval from USA Archery or World Archery and are seeking Continental, IJC or IJ certification.
Judges must have officiated 3 tournaments within the state of AZ within the past year (12 months).
Applications must include a statement of how the applicant has benefited from and how they have given back to archery in Arizona.
Award recipients agree to provide a statement, interview or other write up for publication and use on, but not limited to, the USA Archery AZ website and other social media channels.

All applications will be considered on a case by case basis.

Award amounts - $0-1000
Maximum award allowed - $1000 a calendar year per judge/official.

Official's Name*

First NameLast Name

E-mail Address*

Phone Number*

Area CodePhone Number

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

USA Archery Membership #*

Expiration Date*

Date

Current Level of Certification*

Do you have Arizona listed as your state of residency in your USA Archery membership account?*

YesNo

Club Affiliation

List all tournaments that you have officiated during the past 12 months and the positions you served at each event. (Example: Event date, name, position, location.)*

What seminar has the applicant attended or plans to attend this year that applies to this grant request?*

What amount are you requesting for consideration? Grant amounts $0-1000*

Provide a list of expenses already incurred or those expected for the seminar.*

How have you benefited from and how have you or do you plan to give back to archery in Arizona? *

Please provide any additional comments or details you'd like to include and have reviewed with your application.

Legal Disclaimer: The USA Archery AZ (USAA-AZ) Board of Directors shall be the sole decision-maker regarding the award of any grant, and its decision shall be final. USAA-AZ reserves the right to discontinue, withdraw, or amend the terms of any grant program at any time and without prior notice. USAA-AZ is under no obligation to provide any grant, and all grants are subject to funding availability. Submitting a judge/official grant application does not create any contractual agreement/relationship between the applicant and USAA-AZ. Neither the applicant, nor their family, shall have legal or equitable recourse against USAA-AZ concerning any grant or grant application.

Photo Release: Applicant grant(s) USAA-AZ permission to use the applicant’s likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. Applicant understand(s) and agree(s) that these materials will become the property of USAA-AZ and will not be returned. Applicant grant(s) USAA-AZ the authority to edit, alter, copy, publish or distribute this photo for purpose of publicizing USAA-AZ programs or for any other lawful purpose. In addition, the applicant waive(s) the right to inspect or approve the finished product, including written or electronic copy, wherein the likeness may appear.

Official Recognition and Permission: By electronically signing below and submitting the application, applicant certifies that any information or documentation submitted in support of this application are accurate and truthful. Application information will become the property of USAA-AZ and will not be returned. Applicant recognizes and certifies that he/she/they has/have read and understand the above Legal Disclaimer and gives permission under the conditions stated in the Photo Release.

Electronic Signature of Applicant *

First NameLast Name

By clicking the submit below button you acknowledge and agree to all of the terms listed above.

Judge/Official Grant Request