Build Specification Form

NAAF Grant Application

Use this form to apply for an equipment grant or event/competition grant from the Neuro-Adaptive Athletes Foundation. Before you begin, download and review the Grant Application Checklist at adaptiveathletes.org.
- Full Legal Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Are you under 18 years of age?
- Mailing Address
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
  
  Confirmation EmailCONFIRM EMAIL ADDRESS
- Have you applied to NAAF before?
- Documentation will be requested in Section 5.
- Primary Diagnosis or Condition
- Condition Type
- Condition Type - Other (describe)
- Is your condition permanent?
- Sport(s) Pursued
- Skill / Experience Level
- How long have you been participating in this sport?
- Grant Type
- Requested Grant Amount ($)
- Describe how this grant will be used
- Household Size
- Approximate Annual Household Income
- Do you receive SSI or SSDI?
- Are you seeking funding from any other sources for this grant request?
- Other funding sources (describe)
- Please write a personal statement of 200 to 400 words. Describe your athletic background and experience, how your condition affects your daily life and athletic participation, and how this grant will change your ability to participate in adaptive sport.
- Personal Statement
  
  Minimum 200 words. There is no right way to answer — we want to hear your story.0/400
- Upload your completed NAAF Medical Verification Form, or a letter on provider letterhead. Download the form at adaptiveathletes.org.
  
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- Upload one of the following: federal tax return (Form 1040), W-2 form(s), SSI/SSDI Benefit Verification Letter (within 2 years), or 1099/1099-NEC. For minor applicants, a parent or guardian's documents are acceptable.
  
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- Upload at least one recent photo of yourself participating in or training for your sport. JPG, JPEG, or PNG only.
  
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- Upload a typed, signed letter from a coach, trainer, adaptive sports professional, healthcare provider, or mentor. PDF preferred.
  
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- Equipment grant applicants must submit two letters of recommendation. Upload your second letter here.
  
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- Upload an official written quote from a vendor for the equipment you are requesting. Must include item name, model number, and total cost. Quote must be dated within 90 days of submission.
  
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- Upload a brief written statement describing any adaptive equipment you currently own or borrow. If requesting a replacement, explain why and how prior equipment will be passed on.
  
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- Upload an event document (e.g., flier, invite, event website screenshots). Documentation must include event name, date, location, and all associated costs.
  
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- Parent/Guardian Full Name
  
  First NameLast Name
- Parent/Guardian Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian Email
  example@example.com
- Relationship to Applicant
- By submitting this application, I certify that all information provided is true, accurate, and complete to the best of my knowledge. I understand that submitting false or misleading information may result in disqualification of this application and may affect my eligibility for future NAAF grants. I consent to NAAF retaining this application and supporting documents on file for grant review and record-keeping purposes.
- I certify that all information in this application is true and complete.
- Electronic Signature
  
  You may sign electronically below. If you prefer, you may leave this blank — your submission of this form serves as your certification.
- Should be Empty:

NAAF Grant Application