USTA MS Grant Accountability Form

USTA Middle States Grant Accountability Form
THIS FORM MUST BE COMPLETED PROMPTLY UPON THE CONCLUSION OF YOUR PROGRAM.
General Information
Organization Name*
Program Name (if different)
Program Director*

First NameLast Name
Director's Email*
example@example.com
Phone Number*
Program Information
Location of your program *
MM/YYYY your grant was approved*
PROGRAM START DATE*

MonthDayYear
Date
PROGRAM END DATE*

MonthDayYear
Date
What type of tennis program did you run?*
Ex: Summer camp, school program, JTT, learn to play, Tennis 101, etc.
How many total participants? *
How many instructors? *
How was your funding spent? Please be specific.*
Ex. Purchased 20 racquets, court fees, instructor fees, etc.
On the following scale, rate your program's success in achieving your goals.

1

2

3

4

5

6

7

8

9

10

1 is Not Successful, 10 is Very Successful
Will the program/project initiated with the grant be continued next year?*

YESNO
Please upload any copies of local publicity generated by the grant, photos of the program/project, and other materials showing the impact this grant had on tennis programming in your community.

Cancelof
If you have any questions regarding this form, please contact:

Renee Bridges
Diversity, Equity & Inclusion Director
610-935-5000, ext. 224
bridges@ms.usta.com
Should be Empty:

USTA Middle States Grant Accountability Form