2015 USTA ST. LOUIS COMMUNITY DEVELOPMENT GRANT

* Applications must be returned to the St. Louis District Office by April 15, 2015 *

USTA St. Louis, with approval of its grant review committee, offers a variety of community development program grants (see categories below). Certain restrictions apply. Note: Half (50%) of the money granted will be issued upon approval. The remaining half (50%) will be issued upon receipt of a report summarizing the program in detail at the conclusion of the program or by October 1, whichever comes first. Grant recipients must be USTA Organizational Members and are expected to participate in other USTA St. Louis programs, such as Junior Team Tennis or USTA Leagues. All questions should be directed to the USTA St. Louis office: 314-432-3990 or

Sponsoring Organization:
Name of Tennis Program:
Name of Contact for Grant:
Address (incl. city + zip)
Phone: / Email:
Make Check Payable To:
USTA Organizational Membership No.: / Is your organization a 501(c)(3)? / Yes No

Type of Grant Requested (circle or highlight)

10 and Under Tennis Program / School Tennis Program / Junior Team Tennis
Sanctioned Junior Novice Event / CTA / NJTL Program / Beginners Tennis Program (Any Age)
Adult Team Tennis League / Special Populations Program / Wheelchair Tennis Program

Program Information (circle or highlight)

Years in existence: / New / 1-2 years / 3-4 years / 5 + years
No. of Participants: / Ages 6-10: / Ages 12-18: / Adults (19-49): / Seniors (50+):
Targeted Ability Levels: / Beginner / Intermediate / Advanced/Tournament / All Levels
Facility Type: / School / Public Park / Tennis / Country Club / Other
Court Location: / Number of Courts:
Start Date: / End Date: / Hours/Week:

* A Program Biography MUST accompany the grant application *

History of SLDTA Grants Approved

Grants Received: 2010 $______2011 $______2012 $______2013 $______2014 $______


Budget Summary

INCOME:

Participant fee: / $ / No. of participants: / Total from fees = / $
Other grants and financial support - please list with dollar amounts / $
$
$
TOTAL INCOME = / $

EXPENSES:

·  For purposes of this grant, do not enter more than $15 / hour for head instructors or $10 / hour for assistants.

·  Items not covered: Nets, windscreens, ball machines; season ending events; travel to events, etc.

Staffing: Name of head instructor: / No. of hours: / $ per hour: / Total: / $
No. of assistants: / No. of hours each: / $ per hour: / Total: / $
No. of volunteers:
Court Rental:
No. of courts used: / No. of hours: / $ per hour: / Total: / $
Equipment: List items with costs: / Total: / $
Other Expenses: List items with costs. / Total: / $
TOTAL EXPENSES = / $
TOTAL INCOME - TOTAL EXPENSES = / $
GRANT REQUESTED = / $

Signature of Program Director: Date:

FOR DISTRICT USE ONLY Approve: Disapprove:

Suggested Grant Amount: $

Rationale:

Signed by: Date: Signed by: Date:

District President or Executive Director District Treasurer

·  Submit application to: SLDTA, 11901 OLIVE BLVD., SUITE 212, ST. LOUIS, MO 63141

Email: Fax: 314-432-3959