Rolling USTA CT GRANT FORM

Organization/Individual Info and Mailing Address* This field is required.Best to Have a Organizational Partnership to Receive Funding. W-9 (requested below) will reflect entity NAME and ADDRESS responsible for receiving check and subsequent tax information.

Name of Organization/Individual

Street Address Line

City

State

Zip Code

Country

Organization/Individual Email* This field is required.If different than yours you will need access to verify.

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

USTA Number* This field is required.This Number Should Correspond To The Entity/Individual Applying for the Grant

Numbers Only

Amount Requested* This field is required.Please enter dollar amount

Enter an Amount between $0 and $5000

Check Will Be Made Out To and Address Where Check Is to Be Mailed* This field is required. This must be EXACTLY the same as the info submitted on a W-9 were you to receive funding from this request. You will be asked to upload the W-9 at the end of this application.

Organization Name or Name of Person Receiving the Check

Street Address Line

City

State

Zip Code

Country

ARE YOU DESIGNATED A NON-PROFIT ORGANIZATION?* This field is required.Designated by the IRS

YESNO

Federal Tax ID #* This field is required.Either Social Security Number (SSN) of Applicant OR Employment Identification Number (EIN)

Please enter ONLY NUMBERS ( no hyphens; spaces OK). A W-9 will be required to release a check issued to Name on the W-9.

Do You Serve a Diverse and Inclusive Population?* This field is required.

YESNO

Are You Interested in Coach Trainings to Make Your Programs More Inclusive?* This field is required.For example: Coaching wheelchair and adaptive tennis; coaching elderly;

Please Identify Your Participants* This field is required.Check ALL that apply

At Risk Youth

People with special needs

LGBTQ

Struggling Socio-Economic

Inner-city Community

Children

Seniors

Veterans

Adults

Contact Name* This field is required.Person Responsible for Accountability Response

First Name

Last Name

Contact Email* This field is required.Person filling out this FORM

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

Contact Phone Number* This field is required.

Area Code

Phone Number

Type of Grant Requested* This field is required.Check All That Apply

Jr Team Tennis Grant (must be on TennisLink)

Community Tennis Association (CTA) Grant-Must have Organizational Membership

Tennis in the Parks Grant-Must have Organizational Membership

Kids Club Grant

Adult Learn and Play Program

Marketing Grant

Blended Lines Grant

School Tennis Grant

National Junior Tennis and Learning (NJTL) Grant

Wheelchair Tennis Grant

Adaptive Tennis Grant

Transportation Grant

Diversity & Inclusion Grant

Tennis on Campus Grant

If my Grant request is funded, all or in part, I agree to participate in a Survey created by the USTA CT that will endeavor a good faith effort to poll the participants of my programs regarding their opinions of the overall quality of the delivered tennis experience.* This field is required.

YESNO

Years In Existence* This field is required.Choose 1 Option

New

1-3 Years

4-6 Years

7+ Years

Target Audience* This field is required.Check All That Apply

Youth (18 and Under)

Collegiate (19-24)

Adult (25-49)

Senior (50 and Up)

Target Ability* This field is required.Check All That Apply

Beginner

Intermediate

Advanced

Facility Type* This field is required.Check All That Apply

School (k-12)

After School

NJTL

JTT

Public Park

Community Tennis Association (CTA)

College or University

Tennis Club (Private)

Tennis Club (Public)

Program Start Date* This field is required.

Program End Date* This field is required.

2024 Number of Program Participants* This field is required.Enter New if this is the first year of your efforts

2025 Goal for Number of Program Participants* This field is required.

Program Hours Per Week* This field is required.

Number of Tennis Courts Program Uses* This field is required.

Number of Short Courts Program Uses* This field is required.

How Will You Advertise/Promote for Your Program* This field is required.Check All That Apply

Flyers/Posters

Website/E-Mail/Social Media

Direct Mail

Local Newspaper

Radio

Please Discuss Fee Structure and, in particular, other sources of funding* This field is required.For multiple programs please identify Fee structure for each separately

0/100

Number and Kind of Scholarships Offered* This field is required.These should be reflected as an Expense in your attached Budget

Describe the activities for which you seek funding* This field is required.Please be specific-200 WORD MAX.

0/200

List Your Programs Overall Goals and Objectives* This field is required.Please be specific-200 WORD MAX.

0/200

How will you measure the success of your program?* This field is required.Please be specific-200 WORD MAX.

0/200

You are REQUIRED to submit a Budget* This field is required.Please be sure to include the Grant Request Amount as part of your Budget proposal. In addition, Organizations need to identify how funding and expenses for this program are reflected in your yearly BUDGET.

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Max. file size: 10.6MB

You are REQUIRED to submit a W-9 (organization or individual)* This field is required.All checks dispensed will reflect the EXACT Name and be sent to the EXACT address referenced on the W-9

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Max. file size: 10.6MB

Rolling USTA CT GRANT FORM