USTA North Carolina Grant Accountability Form
For all grants received, accountability is required within 30 days of completion of event/program.
Organization Name
If not a CTA, who is the Sponsoring CTA?
Name of Person Completing Form
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Type of Grant received
Program Grant
CTA Operations Grant
Youth Equipment Grant
Parks & Recreation Grant
Diversity & Inclusion Grant
Out of the Box Grant
Amount Awarded
Amount Spent
How did your organization use the grant (please describe in detail):
Grant Details
Projected
Actual
Participants
Revenue
Expenses
How were the funds allocated (by percentage)
% of Grant Award
Administration
Instruction
Marketing & Promotion
Hospitality
Other
Did you reach your targeted audience/participants?
Yes
No
What factors contributed to the success/failure of meeting your goals?
How do you plan to continue to promote, develop and fund the activities associated with this grant?
Submit
Should be Empty: