2015 MIDWAYUSA & NRA BIANCHI CUP
17-23 May 2015 Columbia, MO
RANGE STAFF AVAILABILITY FORM
Please fill out form completely.
FIRST NAME:
LAST NAME:
ADDRESS:
CITY:
STATE:
EVENING
PHONE:
ZIP:
DAY PHONE:
PHYSICIAN:
PHONE:
EMERGENCY
CONTACT:
PHONE:
SHIRT SIZE:
EMAIL:
CERTIFICATIONS:
NRA Certified Instructor
NRA Certified Coach
NRA Referee
NRA Training Counselor
NRA Chief Range Safety Officer
Current EMT/First Responder
NRA Classified Shooter
NRA Range Safety Officer
Other ________________________
NRA National Coach Development Staff
CPR
Other ________________________
SPECIAL SKILLS (Please list any special skills you have - photography, public relations, sales, etc…):
CHAMPIONSHIP EXPERIENCE: (Please check one)
I have never worked for a shooting competition or any NRA event before.
I am a returning Staff Member; I have previously worked at the following NRA events:
ASSIGNMENT REQUEST (20-23 May 2015):
Range Staff
Sales
Photography
Office Staff if available
**NOTICE: Range Staff are scheduled to arrive 17 May for check-in, training and to begin work, and scheduled to
depart 23 May 2015.
Bianchi Staff & Interns Receive:
•
Valuable working knowledge and skills
•
A daily rate based on experience and longevity
•
Lunch Provided 19 – 23 May 2015
•
Championship Staff Shirt
•
Invitation to all Social Events & Awards Ceremony (Awards Ceremony is Semi-Formal - REQUIRED)
**Travel expenses are the responsibility of the Range Staff member.
Confirmations and information packets will be mailed to you in February. Please direct all future questions regarding
this championship to the NRA Pistol Department, Damien Orsinger, at 703-267-1478 or email: [email protected]
APPLICANT SIGNATURE: I, _____________________________, certify that the above information is true to the
best of my knowledge.
_________________________________________
___________________________
Signature of Applicant
Date
Mail completed application to: NRA Competitive Shooting Division,
Attn: NRA Bianchi Cup, 11250 Waples Mill Road, Fairfax, VA 22030
Fax: 703-267-3941
Email: [email protected]
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