2007
Intermountain Tennis Association
Multicultural Participation
Grant Application
Return to: USTA/Intermountain Tennis Association
Keith Bell
1201 S Parker Rd #200
Denver, CO 80231
ITA Multicultural Participation Program Grant
Objectives of the Multicultural Program Grant:
• Demonstrate the USTA/Intermountain commitment to diversity and inclusion.
• To provide financial support to multicultural youth for their participation, development, and play opportunities in tennis.
• For the purpose of this grant, multicultural is being defined as: African-American (Black), Asian American, Latino American (Hispanic), American Indian/Pacific Islander, and other non-White populations.
All grant applications must include a narrative. Include the following information in the following order.
1) Organization Information
• Mission statement and brief statement of organization’s history
• Brief description of coaches/instructors and any certifications
• List of current programs, activities and accomplishments from previous year
2) Grant Narrative
• Brief statement of program outreach, target population, and number served; how will they benefit?
• List the goals and objectives for the program.
• Description of activities planned to accomplish these goals.
• Share the programs on-going plan for growth and participation in 2007.
• Other organizations, if any, participating in the program.
• Timetable for implementation; start and end date; hours per week.
• Long term sources/strategies for funding at the end of grant period.
3) Grant Requirements
• Please submit two letters of recommendation along with the application
• All recipients must complete the “Accountability Form” (sent to grant recipients with a due date)
4) Grant Guidelines
• The grant application must be received by 11:59 pm MST on the due date (see grant description for funding periods)
• Programs are eligible to receive a grant only once during the calendar year. Non-recipients can re-apply each grant period
2007 ITA Multicultural Participation
Program Grant Application
Please Use This Form When Submitting Your Application
I. Organization Information
Sponsoring Organization Name: ______
Address: ______
City: ______State: ______Zip: ______
Program Name: ______
USTA Organizational Number: ______
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: ______Home Phone: ______
Fax: ______E-mail address: ______
III. Amount and Type of Support Requested
ITA financial support typically ranges between $500-$2500
Youth Program (18 & under) Amount Requested ______
Adult Program (19-49) Amount Requested ______
Senior Program (50 and over) Amount Requested ______
Special Population Program Amount Requested ______
Make check payable to: ______
Which USTA programs will be offered by the sponsoring organization, if any?
Block Party USA Tennis 1-2-3 (youth) USTA Jr. Team Tennis (youth)
USTA League Tennis USA Tennis 1-2-3 (adult) USTA Team Tennis (adult)
Star Search USTA NJTL
Signature, Program Director______Date ______
______
OFFICIAL USE ONLY – DO NOT WRITE IN THIS SPACE
Date received ______
Approved______Declined______
Comments______
Program Budget
-Must be included with Program Grant Application-
Program Name: ______
NOTE: All proposed expenses must be related to the operating cost of the program. Court resurfacing or construction is not covered under the ITA grant guidelines. If the sponsoring organization has it’s own program budget form and process, you may submit that copy.
ITEMIZE EXPENSES:
ItemAmount
Head Instructor salary (not to exceed $15/hr)
Total hours____ x $ per hour ____ $______
Assistant Instructor salary (not to exceed $10/hr)
Total hours____ x $ per hour ____ x # of assts. $______
Advertising $______
Awards $______
Court Fees $______
Equipment $______
Administrative costs (i.e. postage, copies, professional fees) $______
Other (specify)______$______
Other ______$______
Other ______$______
TOTAL COST (A) $______
FUNDS AVAILABLE FOR PROGRAM:
SourceAmount
Participant Program Fees
Number of participants____ x $____ fee $______
Recreation department support $______
Sponsoring organization support $______
USA Tennis player and/or team incentives $______
Other Grants $______
Fundraising events $______
Local sponsorships $______
Corporations $______
Earned income $______
Other (specify)______$______
Other ______$______
Other ______$______
TOTAL FUNDS AVAILABLE (B) $______
BALANCE REQUIRED (A minus B) $______
AMOUNT REQUESTED $______