APPLICATION FORM

APPLICATION FORM
CMP MASTER INSTRUCTOR TRAINING WORKSHOPS
CMP GARAND-SPRINGFIELD-MILITARY RIFLE CLINICS
Instructions: Club rifle instructors or individual rifle marksmanship instructors are invited to apply to attend CMP G-S-M Rifle Clinic
Master Instructor Training Workshops. A maximum of 30 students will be accepted at each workshop, based on when applications
are received and the opportunities each applicant will have to conduct clinics at shooting clubs or ranges in his/her area after
certification. There must be a minimum of 10 students in a class or it will be cancelled. Included in the registration price of
$135.00 you will receive notebook, CD, a sling, 10 clips, 20 dummy rounds and a CMP Rifle Scorebook (NLU 751) . If you are
repeating the course you will pay the $135.00 registration fee.
Name:
Email:
Mailing Address:
Phone (day):
Birth Date:
Training Workshop Options (please check one):
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Camp Perry, OH 27-28 February,, 2016, I will arrange my own housing $135.00 registration fee.
Camp Perry, OH 27-28 February, 2016, I want on base housing for $55.00 per night plus $135.00
registration fee.
Anniston, AL 5-6 March, 2016, I will arrange my own housing $135.00 registration fee.
Oklahoma City, OK 7-8 April 2016, I will arrange my own housing $135.00 registration fee.
th
(April 8 assisting with the New Shooter Clinic.)
Camp Perry, OH National Match 22 July, 2016, I will arrange my own housing $135.00 registration
fee.
Jericho, VT 14-15 September, 2016, I will arrange my own housing $135.00 registration fee.
th
(September 15 assisting with the New Shooter Clinic.)
Phoenix, AZ 7-8 October, 2016, I will arrange my own housing $135.00 registration fee.
th
(Oct 8 assisting with the New Shooter Clinic.).
Talladega AL 6 December, 2016, , I will arrange my own housing $135.00 registration fee.
Shooting Club Affiliations—List shooting club or state association memberships:
Have you previously instructed Garand or other rifle clinics at any of these clubs? If yes, please describe:
If you are certified as a CMP Garand-Springfield-Military Rifle Clinic Master Instructor, will you have opportunities to
conduct these clinics in your area? If yes, please describe:
Have you fired in previous CMP Sanctioned John C. Garand, Springfield, Vintage Military or Rimfire Sporter matches?
If yes, please list with years:
Have you fired in CMP service rifle or service pistol
EIC match? If so, how many?
Do you have any NRA competitive shooter classifications? If
yes, please list:
Please list any instructor certification you hold and list your shooting background.
Please complete this form and return it to the CMP (Kim Filipiak email: [email protected]
Fax: 419-635-2573; Phone; 419-635-2141 ext.706
Mail: CMP Attn: Kim Filipiak; P.O. Box 576; Port Clinton, OH 43452).