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USTA / Midwest Program Grant Applications

January 21, 2005 02:34 AM

To link to original article on the USTA / Midwest web site click on the link below:
http://www.midwest.usta.com/content/custom.sps?iType=1425&icustompageid=2600

PROGRAM GRANT APPLICATION

DEADLINES: JANUARY 1, APRIL 1, JULY 1 & OCTOBER 1


Program Information:

Organization _________________________________________________________

Program Name _______________________________________________________

Current USTA Member Organization?  ___ Yes  ___ No    USTA # _______________

Program Start Date ___________________  End Date ________________________

Number of Participants _________________  Ages __________________________

Existing Program   ___ Yes  ___ No  New Program  ___ Yes   ___ No


Funding Request:

MYTEF Grant Request $ __________________

Grant will be used towards: ________________________________________________

______________________________________________________________________

_______________________________​_______________________________________

Contact Information:

Contact Person _________________________________________________________

Address _______________________________________________________________

City/State/Zip ___________________________________________________________

Home Phone ______________________ Work Phone __________________________

Email _______________________________________ Fax ______________________

USTA # ___________________   District _____________________________________


ORGANIZATIONAL HISTORY

1. When was the organization founded?


2. What is the organizational mission? (Please include a brochure/fact sheet if available.)

 

3. Total number of:

Paid full-time staff:   ______

Paid part-time staff: ______

Volunteers:              ______
  

4.  List other programs the organization has administered (include dates).

 

 


PROGRAM OVERVIEW

1. Clearly describe the program’s goals, objectives and strategies:

a. Goals:

 

 

b. Objectives (in measurable terms):

 

 

c. Strategies:

 

2. Why is the program needed in your area?

 


3. Is this program currently available?

 


4. Specifically, how will the program serve the target audience?

 

 

 

5. How will you recruit the participants for the program?  Explain age, gender or other criteria.

 


6. Will the participants experience tennis for the first time?

 


7. How will young people be changed by this program?

 

 

 

8. How will the program outcomes be evaluated?

 

 

 


9. Will the program continue to be provided for youth who participate in this program beyond the grant period?   If yes, how?  If no, why not?

 

 


10. Where do you envision this program in three years?

 

 

 

PROGRAM DESCRIPTION

1. What life skills will youth develop through this program?  How will this occur?  (These skills may include sportsmanship, teamwork, problem solving, community service, and/or leadership.)

 

 


2. How will instructors be selected?  What qualifications are necessary?

 

 

3. What will be the instructor to participant ratio? ___:___

 


4. How will the program be structured?  Will there be activities other than tennis?  If yes, describe.

 

 


5. Where will the program take place?  What facilities will be used? 

 

 

6. What type of recognition will the participants receive?

 

 

7. General timetable for the program: 

Activity   Date(s)  Day of week  Time of day

 

 

 

 

8. List any collaborative organizations, individuals or facilities that will be involved with the program.  Describe their roles.

 

 

 

 

DEMOGRAPHIC INFORMATION

1. Number of program participants:

Age:   
3-5     _____  Girls _____  Boys _____
6-8     _____  Girls _____  Boys _____
9-12   _____  Girls _____  Boys _____
13-15 _____  Girls _____  Boys _____
16-18 _____  Girls _____  Boys _____


2. Demographic characteristics of group to be served:

White   _____%  Asian   _____%
African American _____%  Native American _____%
Hispanic  _____%  Other   _____%


FINANCE AND BUDGET

Please attach a complete program budget.

Total program budget (for this grant request): $ ____________

MYTEF Grant Request: $ ____________

1. List other funding sources for this program:

Amounts:
USTA National $ _______

District  $ _______

Community  $________

Other  (list)  $________

 

 
2. Are you incorporated?  What is your designation (501(c)(3), 501(c)(4), for-profit, etc.)?

 


3. How will the organization ensure that this program continues in the future?

 

 

4.  How will the program be financially supported in the future?

 

5.  Are you asking MYTEF to fund equipment for the program?  If so, please  
     explain how the equipment will continue to be used at the conclusion of the   
     program.

 

 


6.  Will program fees be charged?  ___ Yes   ___ No
     If so, what is the fee per player? 

 


7.  Has this organization applied for a MYTEF grant before?  
     ___ Yes    ___ No  _______ Year

 


8.  Has this organization received a MYTEF grant before? 
      ___ Yes    ___ No  _______ Year

 

 

Please Attach the Following to the Grant Application:

· Budget/Previous year actual expenses and revenues
· Program flyers, brochures, annual reports, newsletters, fact sheet if available
· Proof of tax-exempt status (IRS Determination Letter or other), if applicable
· Certificate of liability insurance
· Letter(s) of agreement if collaborating with other organizations
· 990 or 990 EZ and supporting documents and forms

Authorized Signature _____________________________ Date ___________

Printed Name ____________________________________________________

Title ____________________________________________________________


1/19/2005

 

 

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