Grant Application

GRANT APPLICATION FORM

Please take a couple of minutes and submit information about your request.
PROGRAM OWNER/COACH INFORMATION
Full Name*

First NameLast Name
Your Title*
Parent, Sponsor, Coach, etc.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
What motivated your org to get involved and/or provide youth sports?*
ORGANIZATION INFORMATION
Organization/ Team Name*
Does your org have it’s 501(c)3 status?*

YesNo
Years in Business*
Provide Overview of your Program including brief history, mission, objectives, key accomplishments and values*
Do you have General Liability Insurance?*

YesNo
Players Age Range*
# of Kids Served Annually through all Your Programs*
Organization/Team Website*
Sport(s) Offered*
Full Time Staff #
Part Time Staff #
# Of Volunteers
GRANT REQUEST
Size of Grant Applying for: $xx*
Will you take Partial Grant?*

YesNo
# of Kids to be Supported through this Grant?*
Specifically, what will this grant be used for?*
Do you have plans to expand programming? If so, How?*
SOCIAL MEDIA
Twitter Link*
Facebook Link*
Instagram Link*
PROGRAM DEMOGRAPHICS
What % of your participants currently receive financial assistance to cover participation fees?*
If relevant, what is the average annual cost of the financial assistance per participant for the sport you’re requesting the grant to support?*
If relevant, what is the average annual cost of the financial assistance per participant for the sport you’re requesting the grant to support?*
Breakdown by % the make-up of the population of kids you serve
African American*
Asian*
Hispanic*
Other*
White*
Should be Empty:

GRANT APPLICATION FORM

PROGRAM OWNER/COACH INFORMATION

ORGANIZATION INFORMATION

GRANT REQUEST

SOCIAL MEDIA

PROGRAM DEMOGRAPHICS

Breakdown by % the make-up of the population of kids you serve