Grant Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="044fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>HUNTER MOUNTAIN RACING FOUNDATION</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="HUNTER MOUNTAIN RACING FOUNDATION"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Mission Statement"><U>Mission Statement</U></A>   |   <A HREF="id42.htm" TARGET="_top" TITLE="Grant Information"><U>Grant Information</U></A>   |   <B>Grant Application</B>   |   <A HREF="id56.htm" TARGET="_top" TITLE="Entry Fee Request"><U>Entry Fee Request</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Competition Development Programs"><U>Competition & Development Programs</U></A>   |   <A HREF="id24.htm" TARGET="_top" TITLE="Events"><U>Events</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Member Application"><U>Member Application</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Donors Benefactors"><U>Donors & Benefactors</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Alumni Athletes "><U>Alumni Athletes </U></A>   |   <A HREF="id34.htm" TARGET="_top" TITLE="News"><U>News</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id38.htm" TARGET="_top" TITLE="Hunter Mountain USSA/USASA Event Registr"><U>Hunter Mountain USSA/USASA Event Registration</U></A>   |   <A HREF="id39.htm" TARGET="_top" TITLE="Board of Directors"><U>Board of Directors</U></A>   |   <A HREF="id41.htm" TARGET="_top" TITLE="Event Pictures"><U>Event Pictures</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="045d2043.jpg"> <div> Please mail your application to:</div> <DIV ALIGN="LEFT"></DIV> <div> <B>Scott Berwick - </B><B>HMRF </B><B>Treasurer</B></div> <div> <B>P.O. Box 295</B></div> <div> <B>Hunter, NY 12242</B></div> <bR> <div> Application information is only viewed by the Grant Committee.  The committee will make reccommendations to the Board for vote.  Awards are based upon available funds and merit.</div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Grant Application</I></div> <div> <I>Select and copy the following and insert into an email for </I><A HREF="mailto:sberwick@huntermtn.com" TARGET="_top" TITLE="mailto:sberwick@huntermtn.com"><U><I>sberwick@huntermtn.com</I></U></A><I> or paste into a Word document </I><I>(</I><FONT SIZE="2" COLOR="#000000" FACE="Lucida Sans Unicode" ><I>right and left margins will have to be adjusted to 1/2 inch to acomodate text) </I></FONT><I>and fax to 518-263-3704 </I></div> <bR> <div> <B>HMRF Grant Application - </B>You must be a member of the Hunter Mountain Racing Foundation to qualify for a grant</div> <bR> <div> Date of Application - (MM/DD/YYYY) _________________________</div> <bR> <div> <B>Applicant Name</B>: _______________________________________________</div> <div>  Male:____ Female:____      Date of Birth (MM/DD/YYYY): _________________</div> <div> USSA #: __________________________FIS # : _______________________</div> <div> or other pertinent Competitor ID Number: ______________________________</div> <bR> <div> <I>Mailing Address:</I></div> <div> Address: ______________________________________________________</div> <div> City: ____________________________ State: ______ Zip: ______________</div> <div> Phone numbers: ________________________________________________</div> <div> <I>Legal Address (if different from above):</I></div> <div> Address: ______________________________________________________</div> <div> City: ____________________________ State: ______ Zip: ______________</div> <div> Phone numbers: ________________________________________________</div> <div> School Attending: _______________________________________________</div> <div> Currently enrolled as: </div> <div> Freshman____ Sophomore____ Junior___  Senior____ Other: ____________</div> <div> Father's Name: ______________________     Mother's Name:___________________________</div> <div> Occupation: _________________________     Occupation:_____________________________</div> <div> Employed by: ________________________    Employed by: ____________________________</div> <div> Other Family Members:         </div> <div> Name                                           Age              Present School        Involved in snowsports competition?</div> <div>                                                                                                                                       <FONT SIZE="2" COLOR="#000000" FACE="Arial" >Prior         Now         Never</FONT></div> <div> ______________________      _____         ___________________              ___         ___       ___</div> <div> ______________________      _____         ___________________              ___         ___       ___</div> <div> ______________________      _____         ___________________              ___         ___       ___</div> <bR> <div> Do your parents contribute to your competitions?                  Yes: ____    No: ____</div> <div> Are you self-supporting?                                                            Yes: ____   No: ____</div> <div> Do your parents contribute to your siblings' competitions?   Yes:  ____   No: ____</div> <div>  </div> <div> Name of events, dates & estimated costs you will be incurring to be able to compete.</div> <div> _____________________________________________________________________________</div> <bR> <div> _____________________________________________________________________________</div> <bR> <div> _____________________________________________________________________________</div> <bR> <div> How did you qualify for this event? ___________________________________________________</div> <bR> <div> Is any part of your participation in this event paid for by the sponsoring organizations?  If so, please indicate the extent of the aid: _____________________________________________________</div> <bR> <div> Amount of aid requested from HMRF: _________________________________________________</div> <bR> <div> Have you applied for aid from any other sources?  If so, please indicate from whom, and the amount requested: ___________________________________________________________________</div> <bR> <div> <I>If you are requesting more than $500 in financial aid from HMRF, please provide the following financial information:</I></div> <div> 1.  Salary Income:</div> <div>                 Yours (if self-supporting)                      $ ____________________ </div> <div>                 Father's                                                 $ ____________________</div> <div>                Mother's                                                 $ ____________________ </div> <div> 2.  Other Income:                                                   $ _____________________</div> <div> 3.  Total Income from IRS form 1040 or 1040A      $ __________________</div> <bR> <div> Please attach a brief essay about your goals for the season and your future, and the reasons you are applying for this grant.</div> <bR> <div> <I>In signing this application, I represent that the statements made are true to the best of my knowledge.</I></div> <bR> <div> Signature _______________________________________  Date ________________</div> <bR> </td> </tr></table></body>