Genesis Foundation for Fitness & Tennis - Organization Application

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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.)
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Organization name
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Point of contact name
First Name
Last Name
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Contact Information
Email
Phone number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Description of the organization
Please include your tax exempt number or write 'N/A' if you do not have a number (Attach form on next page)
Brief description of the organization (350 characeer limit)
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Attach 501 (c) (3) If applicable, please attached your IRS determination letter.
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Max. file size: 10.6MB
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Students/Youth Served
How many students/youth are in the organization?
How many students/youth will be served with this grant?
What is the average age of the youth/student?
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GFFT focuses on youth who meet one of the following criteriaPlease check one
Lower income as defined by those receiving free or reduced lunches
Promising athlete from disadvantaged backgrounds
Physically or mentally handicapped individuals
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Additional informationCharacter limit of 350
Please explain how your organization meets one of the above focus areas
What are your goals for this project
How will you measure the success of this project? (# of students served, health, academic outcomes)
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Has your organization previously received a grant from GFFT?Please answer one of the following:
Yes - Please indicate date received and amount
No - Please indicate with an "No" in the answer box
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How were you referred to GFFT?Limit 200 Characters
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How much are you requesting?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.)
Clubs/Organizations/Schools
Tennis
Which category are you requesting funds? Pick one
How much are you requesting?
How much have you raised?
What are the total expenses?
When do you need the funds?
How are you raising additional funds? Limit 150 Characters
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Detail Budget: Using the categories below, please provide a detail explanation of total expenses and amount requested in an excel file. The file should be attached in the next slide. Email: dwhite@genesisfoundationwichita.com with questions. For example: Membership fees Uniforms Travel Equipment/Supplies - Detail by item Lessons: Include how many lesson x price per lesson Facility Usage Other - List with Dollar amount
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Upload a copy of your budgetInclude a column for total expenses and column with requested budget
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Select files to upload
Max. file size: 10.6MB
See next page for categories
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Describe limitations that prevent your organization from your goal without financial assistance:Character limit to 350
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How will this project change the lives of the children and what are your hopes for them?
Character limit to 350
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You are welcome to upload one picture of your organizationThis is optional
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Select files to upload
Max. file size: 10.6MB
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Additional information (Optional)Briefly include any other information about the organization or funding request
Limit 250 characters
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How will GFFT be recognized?
Limit 200 characters
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First Reference
Name
Please enter their email
Relationship to the organization
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Second Reference
Name
Please enter their email
Relationship to the organization
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I agree to the followingPlease click all for your agreement
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.
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Signature
Clear
Should be Empty:

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