CMP State Director Application - Civilian Marksmanship Program

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Email

What is your profession?

Work Status:

Full-time
Part-time
Retired

Do you have the ability to maintain a directory of junior program resources within your state? (Example: Do you own a computer or have access to a computer with a word processing program or a database program)

Please indicate the following organizations which you are currently affiliated with:

If other above, please specify here:

Do you have shooting coach experience?

Yes
No

Please list the shooting disciplines in which you have experience with and the highest competitive classification you achieved in each discipline:

Do you have experience running and/or supporting shooting tournaments/matches?

Yes (please describe below)
No

If yes above, please describe your experience:

If you have Coaching Education, please list or describe the certifications you have obtained and/or the coach courses you have completed:

Please indicate if you are currently working with any of the following youth shooting programs:

If other above, please describe here:

Have you organized new or innovative ways to promote junior shooting or youth marksmanship or firearms safety training? If yes, please describe:

Have you held youth shooting sports leadership positions in organizations other than your local club or team? If yes, please describe:

If you are appointed as the CMP State Director for your state, please list your short term (one year) goals:

If you are appointed as the CMP State Director for your state, please list your long term (three to five years) goals:

Can you attend, at the CMP expense, the National Youth Shooting Leadership Conference held every two years?

Yes
No

Additional Comments: