THE MARGI BARTLING FUND

OUR MISSION: To provide an opportunity to girls to participate in Momentum Volleyball Club by assisting them to achieve their full potential through the promotion of leadership, teamwork, friendship, character, goal setting, and self-discipline, regardless of their ability to pay

The MargiBartling Fund (the “MB Fund”) was created to give all volleyball players the opportunity to play volleyball with Momentum Volleyball Club, regardless of their ability to pay. Momentum Volleyball Club raises money through contributions to the MB Fund and the sale of sportswear and other items. Money that is allocated or donated to the MB Fund is applied to player accounts (a) as one or more grants to applicants who have timely submitted an application, demonstrated a financial need, and been selected to receive a grant by the Momentum Volleyball Club Board of Directors (the “Board”), and (b) in connection with the Club’s volunteer work program.

MB Fund Grant

MB Fund grants are (a) awarded by the Board in October of each year, and (b) determined by the Board in its sole discretion. Grants will only be awarded to those candidates who (a) have applied on time for a grant and have demonstrated a financial need and (b) agree to participate in the Club’s volunteer work program for a set number of hours during the Club season (determined, in part, by the size of the grant awarded to the candidate). Applications will be available online by September 30, 2015 and should be submitted to the Margi Bartling Fund, c/oMomentum Volleyball Club, no later than October 16, 2015. Grant applications received after October 16, 2015 will be excluded from consideration by the Board of Directors.

The Board will review applications and subsequently determine grant awards, if any. Applicants will be notified of the determination with respect to their application by no later than October 31.

PLEASE NOTE THAT FAILURE TO SUBMIT THE GRANT APPLICATION ON TIME WILL RESULT IN DISQUALIFICATION OF THE APPLICATION FROM THE REVIEW PROCESS.

What is required to be considered for a grant?

  1. Fill out and timely submit the Grant Application
  2. Have player write a letter describing the importance of volleyball in her life
  3. Provide additional documents required by the Grant Application

Deliver all materials set forth in Items 1 through 3 above in a sealed envelope to MargiBartlingFund, c/o Momentum Volleyball Club, 7347 Revere Parkway, Unit B100, Centennial, CO 80112

All information submitted is considered confidential information and will be treated as confidential information.

Work Program Rewards (WPR)

Work program rewards are earned by participating in the Momentum Volleyball Club volunteer work program. For every set number of hours worked in the work program, a player will receive an amount of money to be applied to her account based on a tiered schedule. This amount is paid through the MB Fund. Areas to assist the Club include setting up, and tearing down, tournament preparations for tournaments hosted by the Club during the season, providing support to tournament directors during tournaments hosted by the Club, operating the Friday Night Spikes program, and operating the Foundations program.

MB FUND: WAYS TO HELP FUND THE MB FUND

Tax Exempt Donations

Donations made to Momentum Volleyball Club will be placed into the MB Fundand are tax-exempt as allowed by law. If you are interested in making a donation or have questions, please contact Melissa Miller.

** Please note that donations made to a specific player account are not considered tax exempt; only donations made to the general grant fund qualify for a tax exemption.

Purchase MB Fund Merchandise

One hundred percent (100%) of any net profits or rebates that Momentum Volleyball Club receives from the sales of Momentum Volleyball Club Merchandise will go to the MB Fund and be distributed in the form of work program credits and grants to Momentum Volleyball Club player accounts.

MARGIBARTLINGFUND GRANT APPLICATION

Dear Applicant: Thank you for your interest in the MargiBartlingFund Grant program. Attached is the Grant Application. There are several forms that must be submitted with the application in order to be considered for a grant. Please read the following information carefully in order to ensure the accuracy of your submitted paperwork. Any missing information may result in a denial of your grant request. We have limited funds to use for grants, so we may be unable to fund some or all of the financial assistance requests.

The following documents are needed on or before October 16, 2015, in order to process your request:

  1. Completed Grant Application
  2. Copy of the first page of your most recent tax return that was filed with the Internal Revenue Service, complete with signatures
  3. Copy of all W-2 Forms (include copies of all W-2 Forms for all persons in the household)
  4. Copy of the 2 most recent earnings statements (paystubs) and proof of all other income that comes into the household. This information must be provided for both parents. If it is not clearly indicated on your earnings statement or paystub, please print your name, period of time the statement or paystub covers, and the number of pay periods in a calendar year.
  5. A letter from the player describing the importance of volleyball in her life

NOTE: IN ORDER TO PROTECT PERSONAL INFORMATION, PLEASE REDACT (BLACK OUT) ANY PERSONAL INFORMATION SUCH AS BIRTHDATES, SOCIAL SECURITY NUMBERS, ETC. FROM THE COPIES OF THE INFORMATION YOU PROVIDE.

Again, please review the above checklist and ensure that you submit all required information. Momentum Volleyball Club is not responsible to review the information in order to advise you that any information is missing. In the event information is missing, your application may be denied.

MARGI BARTLING GRANT APPLICATION

PLEASE PRINT

Athlete Name

Athlete Address

Athlete email address

Parent or Guardian Name

Parent / Guardian Address

Parent / Guardian email address

Home Phone NumberDaytime Phone Number

Cell Phone NumberPlace of Employment

Parent or Guardian Name

Parent / Guardian Address

Parent / Guardian email address

Home Phone NumberDaytime Phone Number

Cell Phone NumberPlace of Employment

Please list the name and age of all persons living in the same household who share living expenses (include the athlete, parent(s)/guardian(s), spouse/significant other, siblings, etc.)

NameAge

NameAge

NameAge

NameAge

NameAge

NameAge

NameAge

NameAge

Have you received financial assistance in the past from Momentum Volleyball Club (MVC)?

Yes / No?

Do you currently have a balance owed to MVC? Yes / No?

INCOME ASSESSMENT

Please complete the following in full (if an item is not applicable, please print N/A):

Monthly Gross Income – Head of Household:

Monthly Gross Income –Spouse / Significant Other:

Monthly Gross Income – Other Adults in Household:

Monthly Child Support / Alimony (if applicable):

Monthly SSI, SSDI, FIP:

Monthly Value of Subsidized Rent:

Other Monthly Household Income:

TOTAL HOUSEHOLD INCOME:

EXTENUATING CIRCUMSTANCES

If you have other extenuating circumstances that you believe the Momentum Volleyball Club Board of Directors should consider in reviewing your application, please note here:

IMPORTANT INFORMATION FOR APPLICANTS:

You will be ineligible to receive financial assistance and/or financial assistance will be terminated for:

  1. Failure to timely submit the Grant Application and all required documentation / information;
  2. Carrying a past due account balance;
  3. Failure to report any change in financial condition or work status;
  4. Present more than one check for insufficient funds;
  5. Falsifying information in any Grant Application;
  6. Failing to provide government documentation in any government subsidized program.

I have read and understand the application and verify that all information provided is true and accurate. I also agree that I will participate in each fundraiser opportunity that is made available through Momentum Volleyball Club, as well as the Momentum Volleyball Club volunteer work program, if I am awarded a Grant from the Margi Bartling Fund.

Parent /Guardian SignatureParent / Guardian Signature

Parent/Guardian Name (please print)Parent/Guardian Name (please print)

DateDate