Genesis Foundation for Fitness & Tennis - Organization Application

Welcome to GFFT organization application

Tell us about your organization.
Organization name *
Point of contact name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email *
example@example.com
Describe the organization *
Brief description (350 character limit)
Tax Exempt *
Please indicate if you are a 501 (c) (3) organization. Is yes, please attached.
Attach 501 (c) (3)

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Youth Served: # served *
How many youth are in your organization?
Youth Served: # helped in grant *
How many youth will be served with this grant?
Youth Served: Avg age *
What is the average age of the youth/students
Youth Served: # free/reduced lunch *
Number of youth/students who receive free or reduced lunches?
Ethnicity: African American/Black *
Number of African American or Black youth/students
Ethnicity: Asian *
Number of Asian youth/students
Ethnicity: Caucasian *
Number of Caucasians youth/students
Ethnicity: HIspanic *
Number of Hispanic youth/students
Ethnicity: Native *
Number of Native American youth/students
Ethnicity: Pacific Islanders *
Number of Pacific Islanders youth/students
Ethnicity: Multi-Cultural *
Number of Multi-Cultural youth/students
Ethnicity: Other *
Number of Other youth/students
GFFT focuses on youth who meet one of the following criteria *

Lower income as defined by those receiving free or reduced lunches Promising athlete from disadvantaged backgrounds Physically or mentally handicapped individuals Promising Athlete Recreational Athlete
Focus Areas *
Please explain how your organization meets one of the above focus areas.
Goals *
What are your goals for the organization?
Measure Success *
How will you measure he success of the project? (# served, health, academic issues)
Previous Award *
Have you previously received a grant from GFFT?
How were you referred to GFFT? *
Requesting Funds
There are two levels of grant funding:

- Clubs/Organizations/Schools designed to benefit groups of youth with physical activity and/or nutrition education (Up to $2,500.)

- Tennis for organizations who provide tennis instruction to individual and groups (Up to $2,500.)
How much are you requesting? *
Describe limitations that prevent your organization from your goal without financial assistance: *
How will this project change the lives of the children and what are your hopes for them? *
Character limit to 350
How will you use the grant? *
Itemize budget items and include amount requested by budget items (Uniforms, membership fees, equipment, etc.)
Upload a copy of your budget

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Itemize budget items and include amount requested by budget items (Uniforms, membership fees, equipment, etc.) Cancel of
You are welcome to upload one picture of your organization *

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Besides applying for this grant, what are you doing to raise funds?
Additional information (Optional)
Limit 250 characters
How will GFFT be recognized? *
Limit 200 characters
References

Please provide two references for us to contact
First Reference *

First Name Last Name
Email *
example@example.com
Phone *

Area Code Phone Number
Second Reference *

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

Area Code Phone Number
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:

Welcome to GFFT organization application

Requesting Funds

References

Agreement