Grant Application

Organization Name*
Address*

Street Address

Street Address Line 2

City

Zip Code
City*
State
Zip Code*
Country (leave blank if United States)
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a phone number.
Website
How did you hear about Leveling the Playing Field? Please be as specific as possible.*
Which warehouse is most convenient for you to visit?*
Program Type*

SchoolYouth ProgramYouth LeaguePartnershipOtherNone
Mission Statement*
Please describe the demographics of your organization (age,gender, economic status, education, etc.). Please also include FARM student information.*
Explain how you are currently using sports as a vehicle to teach children valuable life skills.*
What is your current athletic budget? Do you receive any money from the city/county for athletics?*
Where have you received equipment up to this point (athletic budget, family donations, out-of-pocket from teachers, etc.)?*
Have you partnered with other outside recreational programs in the past in terms of funding or equipment grants? If so, please identify and explain the partnership.*
What current facilities do you have/use for athletics (gymnasium, fields, track, etc.)?*
What sports do you currently offer?*

BasketballFootballSoccerTennisLacrosseHockeyBaseballSoftballGolfVolleyball
What other sports do you hope to offer?
To confirm completion, please check TRUE*

TRUE
Please verify that you are human*
Current Date

MonthDayYear
Date
Close Date

MonthDayYear
Date
Due Date

MonthDayYear
Date
Opp Name
Subject
AssignedToID
Newsletter

Type option 1Type option 2
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