ࡱ> lnk'` Dbjbj C`PPPPPPPd,,,8dLd*0     "$(#*******$+hc.x4*QPB$  B$B$4*PP  *&&&B$dP P *&B$*&&PP&  7*tE,$X&&T*0*&.$<.&.P&(##&# #X###4*4*:&X###*B$B$B$B$dddddddddddPPPPPP Appendix 1 CCA Application Form for Carding This form must be completed in its entirety (including coach and athlete signatures) and submitted to the CCA on or before October 31, 2009. The completed form may be sent by courier or by post to the CCA office or may be submitted electronically to Gleness Lapensee ( HYPERLINK "mailto:general@canadian-cycling.com" general@canadian-cycling.com). Forms submitted by courier or electronically must be received on or before the due date. Forms sent by mail must be postmarked no later than October 31st, 2009. Late applications will not be accepted. PLEASE SUBMIT ONLY THIS PAGE AND THE TRAINING & COMPETITION PLAN. ATHLETE INFORMATION: Full Name: FORMTEXT      Discipline: FORMTEXT      Email Address: FORMTEXT      Gender:Male  FORMCHECKBOX  Female  FORMCHECKBOX Date of Birth (mm/dd/yy): FORMTEXT      Telephone: FORMTEXT      Cell Phone: FORMTEXT      Permanent Address: FORMTEXT       FORMTEXT       FORMTEXT      (street)(city)(province) FORMTEXT       FORMTEXT      (postal code)(country) COACH INFORMATION: Full Name: FORMTEXT      Telephone: FORMTEXT      Email Address: FORMTEXT      NCCP Level FORMTEXT      NCCP Passport #: FORMTEXT       AAP ELIGIBLITY:Eligible for:SR1  FORMCHECKBOX SR2  FORMCHECKBOX SR  FORMCHECKBOX D  FORMCHECKBOX INJ  FORMCHECKBOX Summary of results which make me eligible for carding: FORMTEX-; < m n o N R : f ԻԠԂnV@3hc_5CJOJQJaJ+hc_B*CJOJQJ^JaJmH phsH .hc_B*CJH*OJQJ^JaJmH phsH &hc_0JCJOJQJ^JaJmH sH :jhc_B*CJOJQJU^JaJmH phsH 4jhc_B*CJOJQJU^JaJmH phsH 1hc_5B*CJOJQJ\^JaJmH phsH +hc_B*CJOJQJ^JaJmH phsH )hc_5B*OJQJ\^JmH phsH -./ 8 : f h ~ ^lkd$$Ifl#X%% t0644 layt" $Ifgd" $7$8$H$a$gdc_ 7$8$H$gdc_ `'B&d7$8$H$Pgdc_ BDf ~     * , J L h j l s`%j%hc_CJOJQJUaJ%jhc_CJOJQJUaJ%j=hc_CJOJQJUaJ%j%hc_CJOJQJUaJ%jhc_CJOJQJUaJ"jhc_CJUaJmHnHu%jhc_CJOJQJUaJjhc_CJOJQJUaJhc_CJOJQJaJ%~  . vkd$$Ifl#0 X%q S t0644 layt" $Ifgd". 0 @ YPPPP $Ifgd"kd$$Ifl#\ vX%q q q q t0644 layt"   . 0 2 < > X Z n p r | ~ ^`tr%jhc_CJOJQJUaJ%j=hc_CJOJQJUaJ%jhc_CJOJQJUaJ%jhc_CJOJQJUaJ"jhc_CJUaJmHnHu%j=hc_CJOJQJUaJhc_CJOJQJaJjhc_CJOJQJUaJ'   @ X YPPPP $Ifgd"kd$$Ifl#\ vX%q q q q t0644 layt" YPPPP $Ifgd"kd%$$Ifl#\ vX%q q q q t0644 layt" "$6DZYPPPP $Ifgd"kd' $$Ifl#\ vX%q q q q t0644 layt"Z\^YPPPP $Ifgd"kd $$Ifl#\ vX%q q q q t0644 layt"tvx*,@BDNPjlܾܾܾܾܾܾxܾܾeܾܾ%jhc_CJOJQJUaJ%jGhc_CJOJQJUaJ%j/ hc_CJOJQJUaJhc_5CJOJQJaJ%j hc_CJOJQJUaJhc_CJOJQJaJ"jhc_CJUaJmHnHujhc_CJOJQJUaJ%jo hc_CJOJQJUaJ%YPPPP $Ifgd"kd[ $$Ifl#\ vX%q q q q t0644 layt"YTK $Ifgd"gdc_kd $$Ifl#\ vX%q q q q t0644 layt"*R $Ifgd"lkd $$Ifl'X%% t0644 layt"RTjvvvv $Ifgd"kd $$Ifl'0 X%q S t0644 layt":bYPPPP $Ifgd"kd3$$Ifl'\ vX%q q q q t0644 layt" :<PRT^`f "$*,HJܾܾܾܾܾܾxܾܾeܾܾR%jOhc_CJOJQJUaJ%jhc_CJOJQJUaJ%jghc_CJOJQJUaJ%jhc_CJOJQJUaJhc_5CJOJQJaJ%jMhc_CJOJQJUaJhc_CJOJQJaJ"jhc_CJUaJmHnHujhc_CJOJQJUaJ%jhc_CJOJQJUaJ bdfYTK $Ifgd"gdc_kd$$Ifl'\ vX%q q q q t0644 layt"&N| $Ifgd"lkdg$$Ifl%X%% t0644 layt"JLXZvxz~@@@@@@@@.@0@2@<@>@B@D@X@Z@\@f@h@l@n@@@@@@vc%j~hc_CJOJQJUaJ%j|hc_CJOJQJUaJ%jzhc_CJOJQJUaJ"jhc_CJUaJmHnHu%jxhc_CJOJQJUaJUhc_5CJOJQJaJ%jhc_CJOJQJUaJhc_CJOJQJaJjhc_CJOJQJUaJ&|~6- $Ifgd"kd7$$Ifl%ֈ* u X%KKKKKK t0644 layt"@@lkd$$Ifl%X%% t0644 layt" $Ifgd"lkd$$Ifl%X%% t0644 layt"T       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Summary of other UCI results from 2009 season: FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       ATHLETE SIGNATURE: FORMTEXT      DATE: FORMTEXT      COACH SIGNATURE: FORMTEXT      DATE: FORMTEXT           2009 Cycling Carding Criteria for nominations for the 2010 carding cycle February 2009 Fe Stand alone form @@@B@j@lkd$$Ifl%X%% t0644 layt" $Ifgd"j@l@@@lkd$$Ifl%X%% t0644 layt" $Ifgd"lkd$$Ifl%X%% t0644 layt"@@@@@@@@@A A"A6A8A:ADAFAJALA`AbAdAnApAtAvAAAAAAAAAAAAAAAAyf%jhc_CJOJQJUaJ%jhc_CJOJQJUaJ%jhc_CJOJQJUaJ%jhc_CJOJQJUaJhc_5CJOJQJaJ"jhc_CJUaJmHnHu%jhc_CJOJQJUaJjhc_CJOJQJUaJhc_CJOJQJaJ(@@@Alkd$$Ifl%X%% t0644 layt" $Ifgd"A AHAJAlkd$$Ifl%X%% t0644 layt" $Ifgd"lkd$$Ifl%X%% t0644 layt"JArAtAAlkd$$Ifl%X%% t0644 layt" $Ifgd"AAAAlkd$$Ifl%X%% t0644 layt" $Ifgd"lkd$$Ifl%X%% t0644 layt"AAAAAABB0B2B4B>B@BNBPBdBfBhBrBtBBBBBBBBBBBܾwbwMw(j!hc_5CJOJQJUaJ(j hc_5CJOJQJUaJ%jhc_5CJUaJmHnHu(j hc_5CJOJQJUaJ"jhc_5CJOJQJUaJhc_5CJOJQJaJhc_CJOJQJaJ"jhc_CJUaJmHnHujhc_CJOJQJUaJ%jhc_CJOJQJUaJAAAABBBNBvBgdc_lkd$$Ifl%X%% t0644 layt" $Ifgd"vBxBBBBBYPPPP $Ifgd"kd!$$Ifl6\ pX%   t0%644 layt"BBBBBBBBBCCC C CCCCCDDDٹhc_hc_CJOJQJaJh"jh"UhAhc_OJQJmH sH hc_CJOJQJaJhc_5CJOJQJaJ%jhc_5CJUaJmHnHu"jhc_5CJOJQJUaJ(j,"hc_5CJOJQJUaJBBBBBCCC CCYTTRRRRRRgdc_kd"$$Ifl6\ pX%   t0%644 layt" CCCCCDDDD !`'$dNgdc_A 0&P1h/R!:pc_@P / =!8"8#8$8% DyK general@canadian-cycling.comyK `mailto:general@canadian-cycling.comyX;H,]ą'c$$If!vh5%#v%:V l# t06,5%yt"tDText5$$If!vh5q 5S#vq #vS:V l# t06,5q 5Syt"tDText3tDText2$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"tDCheck1tDCheck2tDText6$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"tDText4tDText7$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"tDText8tDText9vDText10$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"vDText11vDText12$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"$$If!vh5q 5q 5q 5q #vq :V l# t06,5q yt"$$If!vh5%#v%:V l' t06,5%yt"vDText13$$If!vh5q 5S#vq #vS:V l' t06,5q 5Syt"vDText14vDText15$$If!vh5q 5q 5q 5q #vq :V l' t06,5q yt"vDText16vDText17$$If!vh5q 5q 5q 5q #vq :V l' t06,5q yt"$$If!vh5%#v%:V l% t06,5%yt"tDeCheck3tDeCheck6tDeCheck7tDeCheck8tDeCheck5$$If!vh5K5K5K5K5K5M#vK#vM:V l% t06,5Kyt"$$If!vh5%#v%:V l% t06,5%yt"vDText18$$If!vh5%#v%:V l% t06,5%yt"vDText19$$If!vh5%#v%:V l% t06,5%yt"vDText20$$If!vh5%#v%:V l% t06,5%yt"vDText21$$If!vh5%#v%:V l% t06,5%yt"vDText22$$If!vh5%#v%:V l% t06,5%yt"$$If!vh5%#v%:V l% t06,5%yt"vDText23$$If!vh5%#v%:V l% t06,5%yt"vDText24$$If!vh5%#v%:V l% t06,5%yt"vDText25$$If!vh5%#v%:V l% t06,5%yt"vDText26$$If!vh5%#v%:V l% t06,5%yt"vDText27$$If!vh5%#v%:V l% t06,5%yt"vDText28vDText30$$If!vh5 5 55#v #v:V l6 t0%6,5 5yt"vDText29vDText31$$If!vh5 5 55#v #v:V l6 t0%6,5 5yt"H`H c_Normal CJOJQJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No List6U`6 c_ Hyperlink >*B*ph4@4 c_Header  !4 @4 c_Footer  !`-./YZ Rl"-./CWXYZhrstu 123CDRh~   !56JK_` !';<Mag{|}~00000000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 000@0&00@000@000@000@0@0@000-.XYst12CD   !56JK_`;<Mag{|}~Z0D0EZ0F0G@0Z0H0I@0Z0J0K@0Z0L0M@4Z0N0O0Z0P0QZ0R0S@0Z0T0U@0Z0V0WZ0X0Y@0Z0Z0[@0Z0\0]@0Z0^0_@0Z0`0a@0Z0b0c@0Z0d0e@0Z0f0g@0Z0h0i@0Z0j0k@0Z0l0m@0Z0n0o+@P  P Z0p0q/@p P Z0r0s/@qZ0t0u3@qZ0v0w3@rZ0x0y7@HrZ0z0{7@r089L08 08Z0|0;@rZ00Z00 00~Z00 @0 0%0 f tJ@ABD %*-~ . ZRb|@j@@AJAAAvBBCD #$&'()+,./D ;n%5@Plx~/;ACOU )/Vfl|  !-36BHKW] '39MY_gsyXFFFG$G$FFFFFFFFFFFFFG$G$G$G$G$FFFFFFFFFFFFFF$Text5Text3Text2Check1Check2Text6Text4Text7Text8Text9Text10Text11Text12Text13Text14Text15Text16Text17Check3Check6Check7Check8Text18Text19Text20Text21Text22Text23Text24Text25Text26Text27Text28Text30Text29Text31%Am0DWm "7L(Nh  !"#6QBV 0g} 4I^ :`z )9>*urn:schemas-microsoft-com:office:smarttags PersonName ޅdiR/Z 3 !'<MagAHc_"Z Rl"-./CWXYZhrstu 123CDRh~   !56JK_` !';<Mag{|}@YYYYLP@P P PPP@UnknownGz Times New Roman5Symbol3& z Arial7&{ @CalibriABook Antiqua"1h*&*&a a !884|| 2qHX ?c_ Appendix 1 Jacques.LandryJacques.LandryOh+'0   @ L Xdlt| Appendix 1 Jacques.Landry Normal.dotJacques.Landry1Microsoft Office Word@G@X- E@QEa՜.+,D՜.+,H hp  Canadian Cycling |'  Appendix 1 Title 8@ _PID_HLINKSAj$mailto:general@canadian-cycling.com  !"#$%&'()*+,-./023456789:;<=>?@ABDEFGHIJKLMNOPQRSTUVWXYZ\]^_`abdefghijmRoot Entry FPFtEoData 1T#1TableC.WordDocumentC`SummaryInformation([DocumentSummaryInformation8cCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q