2018 Equipment Grant
Profile Section
Organization Information
Organization Name:
Also Known As / Doing Business As:
USTA Organization Membership Number:
PLEASE NOTE: Grant applications from individual USTA members will be limited to a maximum of $500 in grant funding if approved. This limitation does not apply to current organizational members.
Are You a 501(c)3 Charitable Organization?
Select from Yes or No
Organization Type:
Select from Elementary School, Middle School, High School, Youth Organization, CTA / NJTL, Other
If “Other” Please Specify:
Address 1:
Address 2:
City:
State:
Zip:
Organizational Telephone:
Primary County to be Served:
Website:
Primary Contact Information
First Name:
Last Name:
Title:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Phone:
If awarded an Equipment Grant are you able to acknowledge the USTA Florida Section Foundation as a funding source?
Select from Yes or No
If you answered “No” please explain why:
How would you acknowledge the support provided by the USTA Florida Section Foundation if you were awarded an Equipment Grant?
When a program or project receives funding from the USTA Florida Section Foundation, the Foundation requires recognition as a funding source.
Submission Section – Equipment Request
Request Information
Program Title:
Program Description:
Please provide a detailed overview of the proposed program, including why the program is needed in your community.
Amount Requested:
Specifically, how will you spend any grant money awarded?
Grant Narrative
Why do you need funding from the USTA Florida Section Foundation?
Please explain your compelling need. Be specific.
How will this program benefit your community?
What is the projected number of program participants and their ages?
What days will the program take place?
What time(s) will the program take place?
Please list staff names, including their credentials and training:
If those listed above are working with you, have they registered a profile on
Select from Yes, No or Not Applicable
Have they successfully passed the NCSI background check as a part of the Net Generation registration?
Select from Yes, No or Not Applicable
Is the program you’re asking for funding for listed in the Program Management Center (PMC) on
Select from Yes, No or Not Applicable
If you answered “No” for any of the above Net Generation related questions and are working with you, please save this grant application and go to to complete all three steps that are required to receive a USTA Florida Section Foundation Equipment Grant.
Participant Cost:
Please list your collaborations/partners in the community and describe how specifically they are helping your program:
List any additional sources of funding including in-king donations and matching dollars:
Program Start Date:
Program End Date:
How will you measure if the program is successful?
How will you pay for the continuation of the program after grant funds are spent?
PLEASE NOTE: Grant funding is intended to assist with start-up costs. You program is expected to be self-sustaining in the future.
Please list any USTA Florida Staff and key volunteers with whom you work:
Please list USTA Florida programs you currently provide such as youth tennis, Masters Tennis, Jr. Team tennis, adaptive/wheelchair tennis, etc.:
Submission Section – Program Budget
Program budget can be downloaded from the grant resources available on the USTA Florida Section Foundation website.
Updated 1/23/2018