2023 Minnesota Golf License Plate Grant

Minnesota Golf License Plate Grant
The Minnesota Golf License Plate was introduced to help enhance and grow the game of golf in the State of Minnesota. The focus of the grants are to enhance the golf experience in the areas of youth, military, and inclusion in Minnesota. To qualify for a grant, your program must fit into one or more of those categories.

Notes before applying:
- This application should only be used if you are applying for funds to implement a program in the state of Minnesota.
- Applications should be completed prior to the start of your program. (i.e. if you will be conducting Golf in Schools in January, complete the grant form that is due in the fall).
- You may include a cover letter.
- Every question must be answered. If the question is not applicable, use N/A.
- Some applications may only receive a partial amount of their total requested funding.
Items to attach at the end of the application:
- List of Board Members or governing body of your organization, if applicable.
- Program schedule and/or promotional materials, if applicable
- Most recent IRS tax return form 990 or 1120. If a 990 is not available, provide either proof of 501(c)(3) status or provide a copy of your non-profit registration with the Minnesota Department of State.

Organization Information
Organization or Program Name*
Geographic Area Served*
Ex.: Metro, Northwestern Minnesota, Rochester area, etc. (only programs in Minnesota can be considered for this grant).
Employer Identification Number (EIN)
An EIN is a unique nine-digit number that identifies your business for tax purposesIf applicable
Organization or Program Website*
Organization or Program Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Title of Contact Person*
Contact Email*
Contact Phone Number*

Area CodePhone Number
Payee Name, if different than name listed above*

First NameLast Name
PGA/LPGA Member Program Lead*
PGA Member Number
Is your organization a 501(c)(3) organization recognized by the IRS?*

YesNoN/A
If No, is your organization a public agency or unit of government?*

YesNoN/A

Program Overview
Please describe the programming you will implement using the grant funds, should you receive them. Be as detailed as necessary to give a full overview of the program or activities.*
Is there a fee for the consumer to participate in your program?*

YesNo
What is the price per student/consumer to participate:
$
Date Program Begins:*

MonthDayYear
Date
Date Program Ends:*

MonthDayYear
Date
Area of Focus
Which area(s) of focus is your program in?*

YouthMilitaryInclusionN/A

Anticipated Participant Demographics
1. Total Participants - How many individuals are projected to participate in your program? If your program has not started yet, please give a projected number.
Total Anticipated Participants*
Percentage (%) Male*
please write a number
Percentage (%) Female*
please write a number
2. Focus Area - What percentage of participants fall into the following categories? Total must equal 100%:
Youth*
please write a number
Military*
please write a number
Inclusion/Diversity*
please write a number
Inclusion/Special Needs*
please write a number
No Specific Focus*
please write a number
3. Household Income - Estimate the average household income of the individuals that will participate in your program.
Percentage (%) Less than $25,000*
please write a number
Percentage (%) $25,000 - $50,000*
please write a number
Percentage (%) $50,000 - $75,000*
please write a number
Percentage (%) $75,000 and above*
please write a number
4. Golf Experience - Estimate the extent of the golf background of the individuals that will participate in your program.
Percentage (%) with no previous experience*
please write a number
Percentage (%) with beginner experience*
please write a number
Percentage (%) with intermediate experience*
please write a number
Percentage (%) with advanced experience*
please write a number
5. How many facilities or program sites does your program have?*
please write a number
Please write all facility or site/program location names and cities.*
Have you applied for a Minnesota Golf License Plate Grant for this program in previous years?*

YesNoN/A
Have you applied for a Minnesota Golf License Plate Grant for this same program, but at a different site/facility?*

YesNoN/A

Program Details and Costs Worksheet
Number of Facilities or Sites in Program*
Line 1
Number of Cumulative Days Spent at Facility/Site(s). (I conducted programming at two sites for 5 days and 9 days. The total will calculate for you below.).*
Line 2
Hours per Facility/Site(s) per Day*
Line 3
Total Hours in Program
Line 4
Instructor Rates - Please select if a PGA/LPGA Professional or Associate will be responsible for administering the program. Only one PGA/LPGA Professional or Associate will be allowed payment from this grant for instruction for any program other than Golf In Schools. The PGA/LPGA Professional or Associate must be present during each meeting if they will be administering the program. Instruction by a PGA/LPGA Member or Associate will be the only instruction time reimbursed from this grant. The reimbursement rate per hour is $35.

Golf In Schools - If you are applying for a Golf In Schools grant, instruction for PGA/LPGA Members and Associates ONLY will be awarded for multiple instructors. The maximum amount awarded per instructor for Golf In Schools is $3,000.
Will a PGA Professional or Associate be instructing the Program?*

YesNo
Will your PGA Professional or Associate be requesting instruction reimbursement?*

YesNoN/A
Please enter the names and hours of all PGA/LPGA Members and Associates instructing (including yourself if applicable). Grant funding for instruction will ONLY be awarded to PGA/LPGA Members and Associates in good standing. All other instructors will not be awarded instruction pay.*
Please list the expenses the program has for equipment costs. Please list each expense separately. *
Total Equipment Expenses $:*
Line 5
Please list the expenses the program has for facility costs. Please list each expense separately. *
Total Facility Expenses $:*
Line 6
Please list the expenses the program has for instructor costs (see line item 5). Please list each expense separately. *
Total $ amount of Instructor Fees Requested (Line 4 x $35) :*
Line 7
Please list any other direct program costs. Please list each expense separately. *
Total Other Expenses $:*
Line 8
Total Grant Request ($) (Line items 5-8)

Program Measurement
How will you evaluate or measure the progress of your program? For example, skills tests, number of participants, etc.*
Will you need any funding to execute this program in future years?*
What efforts will your organization make to promote the marketing/sales of the Minnesota Golf License Plate?*
Can you proceed with this program without support from the Minnesota Golf License Plate?*

Additional Documents
Organization's Board Members

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Program Schedule or Materials

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Most Recent IRS Tax Return Form 990 or 1120, or proof of 501(c)(3) status

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Additional Materials (cover letter, etc.)

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Today's Date

MonthDayYear
Date
Applicant Digital Signature/Disclaimer: I, the undersigned, hereby certify that I have read and understand the Minnesota Golf License Plate Grant Guidelines and certify that all information included with this application is true and correct to the best of my knowledge.*

Clear
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Minnesota Golf License Plate Grant

Organization Information

Program Overview

Area of Focus

Anticipated Participant Demographics

Program Details and Costs Worksheet

Program Measurement

Additional Documents