R4WH National Team Rider Application

STEP 1: Complete the entire form below and submit. (* Indicates required field )

* First Name:

* Last Name:

* Age:

* Current Address:

* Current Phone No.:

* Current Email:

* Education:

* Work Experience:

* What year are you applying to ride?

Please note all National Team Rider positions for the 2009 Ride have been filled. Please submit an application only if you'd like to apply for a future year.

Select a year:

Throughout the year leading up to the Ride, as you can imagine, there is a tremendous amount of planning that goes into ensuring the success of R4WH.

Would you be willing to assist the Leadership Team by participating in the planning process by serving on a Ride Committee?		Yes No

If yes, how much time would you be willing to commit?
Before the Ride:		hours / month
During the Ride (April/May):		hours / month

How did you find out about the Ride?

Have you known any previous Ride for World Health riders? If so, please list:

Why are you interested in the Ride?

R4WH understands that applicants may have little or no experience in cycling or endurance training.

However, are you willing to train so that you're able to bike across the country? Yes No

Feel free to discuss any other athletic/endurance endeavors you've participated in.

Each year, the National Team Riders are committed to a certain fundraising goal. In the past, this has been $2500 per rider, which is due at the beginning of the Ride. This fundraising supports both the yearly R4WH beneficiary, as well as the logistical costs of supporting each rider across the country. In the past, with support and materials from R4WH, riders have been able to meet this goal with ease.

Do you have any thoughts about how you would raise and donate this amount?

Do you have concerns that you might be unable to raise this amount?

Each year, the Ride takes place in April and May over approximately 50-55 days. The success of the Ride is dependent on participation of the team from start to finish.

Would you be able to commit to the entire length of the Ride? Yes No

If not, how long could you commit?

Please enter anything else you would like to add.