FY 2024.2025 FRHD Youth Fitness Grant

1

Organization Name* This field is required.Please provide the legal name of the organization, as it appears on your 990. If you have a different DBA or nickname please add that in the box adjacent to the legal name.

Legal Name

DBA (if Applicable)

2

Contact Information* This field is required.Please add the contact information for the person responsible for the submission and monitoring of this grant application.

Contact Name

Title

Primary Contact Phone

Email Address

3

Organization Mailing Address* This field is required.This address will be used for all mailing purposes.

Mailing Address

Address Line 2

City

State / Province

Postal / Zip Code

Country

4

Season History & Accomplishments* This field is required.Briefly describe how this funding made an impact on the program over this last year.

0/300

5

Target Population - Age* This field is required.List the number of your program participants’ ages.

Number of participants

Children (infants to 12)

Young Adults (13-17)

Adults (18-60)

Children (infants to 12)

Young Adults (13-17)

Adults (18-60)

Number of participants

6

Target Population - Gender* This field is required.List the number of your program participants’ gender identification.

Number of program participants

Female

Male

Non-binary

Unknown*

Female

Male

Non-binary

Unknown*

Number of program participants

7

What language(s) can this program accommodate:* This field is required.Where most or the at least half of the program can be provided in the participant's primary language.

English

Spanish

Tagalog

Chinese (Mandarin/Cantonese)

Other

8

Acknowledgment* This field is required.Please select the methods by which the Organization acknowledged the District's investment of funding.

Social Media Postings

Signage at Service Sites

Print Materials to Service Recipients

Website Display

Other

9

Acknowledgment* This field is required.Please explain how the District's name or logo was be promoted. If social media is selected, please identify which platforms your organization utilized.

0/250

10

Agreement - Has the organization done it's best to solicit feedback from you participants via the District's Impact Survey?

YESNO

11

Impact storyPlease provide an example of how a participant was able to access youth fitness because of this grant. How did this program make an impact on the youth. You may change identifying information as necessary, but try to provide factual information regarding the relevance of the youth's participation. Please upload a pdf or image file - this photo and story may be used as part of the District's outreach efforts. Your submission implies that you have permission to share any details and photos from your program participants.

12

Program Budget* This field is required.Please upload the Program Budget & Narrative file that was submitted with the application. The District provided spreadsheet should be completed with how the funds were spent.

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Select files to upload

Max. file size: 10.6MB

13

Terms and Conditions* This field is required.Checking this box certifies that all information presented in, or attached to this application is complete and accurate.

14

Authorized Signature* This field is required.Please sign the application

Clear