Genesis Foundation for Fitness & Tennis

There are two sections of the application

The first section is to be filled out by the youth applicant. The second section to be complete by your parent/guardian.
There are two levels of grant funding:

- Recreational athlete funding is for youth beginning their athletic journey who need assistance for involvement with their club or organization (Up to $500)
- Competitive athlete funding is for youth who participate in a sport with training and competition (Up to $1,000.)
Which category are you applying for grant funding?

Recreational AthleteCompetitive Athlete
Section One

Youth applicant to complete
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth

MonthDayYear
Date
What grade are you in?*
Where do you go to school?*
Your Sport
What sport do you play?*
How long have you been playing this sport?*
How does this make you a better person?*
What is one of your personal goals for your sport? *
What is your 2nd personal goals for your sport? *
References

Please provide two references for us to contact about you. Not a family member.
First Reference*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
What is their relationship to you?*
Second Reference*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
What is their relationship to you?*
Name of your coach*

First NameLast Name
Phone Number of your coach*

Area CodePhone Number
Email of your coach*
example@example.com
Name of the facility where you play*
example@example.com
Phone number of the facility where you play*

Area CodePhone Number
Address of the facility where you play*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Section Two

To be completed by Parent/Guardian
Parent/Guardian information*

First NameLast Name
Parent/Guardian address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Ethnicity*
What is your ethnicity?
Household Size*
How many people live in your home?
Requesting Funds
There are two levels of grant funding:

- Recreational athlete funding is for youth beginning their athletic journey who need assistance for involvement with their club or organization (Up to $500)
- Competitive athlete funding is for youth who participate in a sport with training and competition (Up to $1,000.)
How much are you requesting?*
Enter dollar amount
Budget Request

Browse Files
Please upload your budget and include the grant request. Items can include: equipment, uniform, fees, travel, etc. You can email the information to dwhite@genesisfoundationwichita.com Cancelof
How do you plan to use the grant?*

Please describe how you will use the money. For example: $100 uniform, $200 travel0/20
How much will you spend on lessons?*

0/20
How much will you spend on fees?*

0/20
How much will you spend on travel?*

0/20
How much will you spend on uniform/shoes?*

0/20
Any other expenses? *

Please indicate the expense and how much.0/20
What are you doing to raise additional money?*
Besides the grant, describe how you are raising money?
How much have you raised?*
What happens if you don't receive funding?*
GFFT focuses on families who meet one of the following criteria. Select the one criteria who fits your family*

Lower income as defined by those receiving free or reduced lunchesPromising athlete from disadvantaged backgroundsPhysically or mentally handicapped individualsCompetitive/promising athleteRecreational athlete
Please explain how your family meets one of the above focus areas.*
Annual Income*

Less than $30,000$30,000 - $54,999$55,000 - $74,999$75,000 - $99,999$100,000+
Agreement
I agree to the following*

Provide a final report 90 day after receipt of funds or otherwise agreed to date.Provide a digital picture or video 90 days after receipt of funds or other mutual date.I give permission for GFFT to use the photo in social media and other publicity releases.
Signature

Clear
Should be Empty:

There are two sections of the application

Section One

Your Sport

References

Section Two

Requesting Funds

Agreement