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
Format: (000) 000-0000.
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?
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.

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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