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Program Grant

February 20, 2010 05:37 PM

Wyoming Youth Tennis Foundation

Program Grant Application

APPLICATION MUST BE POSTMARKED BY APRIL 1 or OCTOBER 1

Program applications must be returned to the Wyoming Youth Tennis Foundation,
P O Box 1247, Laramie, WY 82073

PLEASE USE THIS FORM WHEN SUBMITTING YOUR APPLICATION
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED

I. Organization Information

Sponsoring organization name:         
Address:            
City:       State:   Zip:   
Program Name:           
Is organization a USTA organizational member?  Yes  No*
*If funded, $35 of the request will be used to purchase the organization a USTA organizational membership.
Is organization an IRS 501(c)3 not-for-profit?      Yes  No

II. Contact Information and Mailing Address

Program Director:           
Address:            
City:       State:   Zip:   
Work phone:    Fax:    Home phone:   
E-mail address            

III. Amount and Type of Support Requested
WYTF  financial support not to exceed $500/year.. Half awarded up front, remainder after program completed.
 Youth Program (18 & under)   Amount requested   

Make check payable to:          

IV. General Program Information

Estimated program participation numbers in the following ethnic categories:

 African Amer.  Asian  Amer.  Caucasian  Latino Amer.  Native Amer.   Other

Name of tennis site(s) used for this program?       
Please provide the number of each of the following for EACH site used

          outdoor courts             indoor courts           lit courts    

What tennis programs are currently conducted by the organization? (Mark all that apply)
  Free Lessons   Youth instruction   Youth leagues   Youth tournaments
  Adult leagues   Adult instruction   Adult tournaments 
  Wheelchair clinics/tournaments    Other      

Signature, Program Director       Date   

Applicants will be notified of the Board’s decision within 30 days of the deadline.

PROGRAM GRANT APPLICATION
NARRATIVE


All grant applications must include a narrative.  Briefly answer the following:


1. Organization Information
a. Mission statement/objectives

b. Description of current tennis programs


2. Purpose of Grant
a. Statement of proposed program, including
• Target population
• Estimated number served
• Goals/objectives
• Planned activities
• New or ongoing program
• Time table (i.e. start and end date; hours per week)
• Impact on the community

b. Other organizations participating in the program

c. Long term sources/strategies for funding at the end of grant period.


3. Evaluation
a. How you would define and measure success?

 
PROGRAM BUDGET

Program Name:           

NOTE:  All proposed expenses must be related to the operating cost of the program.  Court resurfacing or maintenance is not covered under the WYTF grant guidelines.   Applications with budgets reflecting more than the maximum hourly rate for instructors may not be considered.  If the sponsoring organization has its own program budget form and process, you may submit that copy.

ITEMIZE EXPENSES:
Item Amount
Head Instructor salary (not to exceed $15/hour)
 total hours      x $ per hour  $      
Assistant Instructor salary (not to exceed $10/hour)
 total hours      x $ per hour x number of assistants  $   
Advertising/Promotions $   
Awards $   
Court fees $   
Equipment $   
Administrative costs (i.e. postage, copies, professional fees) $   
Other (specify)  $   
Other  $   
Other  $   
Other  $   

TOTAL COST (A) $   

FUNDS AVAILABLE FOR PROGRAM
Source Amount
Participant Program Fees
 number of participants x$ fee $   
Recreation department support $   
Sponsoring organization support $   
Other grants $   
Fundraising events $   
Local sponsorships $   
Corporations $   
Earned income $   
Other (specify)  $   
Other  $   
Other  $   

TOTAL FUNDS AVAILABLE (B) $   

BALANCE REQUIRED (A minus B) $   

AMOUNT REQUESTED $   

 

 

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