Community Grant Template

Community Application

* denotes a required field - please enter 0 if you have no data to submit

Organization Name: *

First Name *

Last Name *

Position *

Phone *

Alternate Phone

Email *

Web Site *

Facebook Page Link

Twitter Handle

Instagram Handle

Mailing/Shipping Address 1 *

Mailing/Shipping Address 2

City *

State *

Zip Code *

Country

Organization EIN/Tax ID # *

Section 2

Please provide an overview of your program. This could include a brief history, accomplishments, and values. *

What difficulties does your organization currently face when it comes to obtaining new sports equipment? *

Do you have plans to expand programming? If so, how? *

What additional sport programs would you like to offer if you had the resources?*

As one of our initiatives, Good Sports is committed to supporting girls’ in sport and fitness activities. What challenges, if any, do girls in your program or community face in relation to the opportunity to play? How is your organization combating these challenges?

What will happen if we are unable to support your organization? *

What motivated you to become involved in teaching/coaching sports or fitness activities? *

Section 4

In what months does your program operate? Hold the "Ctrl" button to select multiple months *

How many weeks per year does program meet? * Please select a number between 1-52

Number of days per week program meets * Please select a number between 1-7

How many hours/week is the average child active? * Please select a number between 1-20

Demographics of youth in Program (please provide number for each category)

Population	Male	Female	Total
Asian *
African American *
Latino(a) *
White/Caucasian *
Native American *
Other Populations *
Totals

Age of Youth	Male	Female	Total
3-4 *
5-7 *
8-10 *
11-13 *
14-16 *
17-18 *
Totals

My organization runs girls-only programming

Number of youth with disabilities and special needs you serve *

Are accommodations necessary for these children to participate fully? If so, please explain:

Please list the top three towns/neighborhoods you serve *

Please list all state counties your organization serves *

	Kid recruitment *
	Organizational support (board, leadership, and program development; strategic planning) *
	Equipment *
	Working collaboratively with other programs and organizations *
	Administration/organization support (i.e. technology, office equipment, supplies, communication, etc.) *
	Recruitment, training and retention of staff *
	Recruitment, retention and training of volunteers (including coaches education) *
	Transportation *
	Assessment and outcomes measurement *
	Professional liability insurance, CORI/SORI checks or other legal questions *
	Engaging and working with parents *
	Permitting, fields and facilities *
	Fundraising support, sponsorships, marketing and PR *

Community Application

Section 2

Section 3

Please list the number of staff next to each of the following

Please check off your top three challenges

Section 4

Demographics of youth in Program (please provide number for each category)

Section 5

Which of the following life skills/education components (not including your sports programming) does your organization provide?

Athletic Department
Baseball
Baseball & Softball
Basketball
Bicycling
Boating/Sailing/Water Sports
Boxing
Cheerleading
Cross Country
Dance
Field Hockey
Fitness/Exercise
Flag Football
Floor Hockey
Football
General Recreation
Golf
Gymnastics
Ice Hockey
Karate/Martial Arts
Lacrosse
Physical Education (schools only)
Recess
Rowing
Rugby
Soccer
Softball
Street Hockey
Swimming
Tennis/Racquet Sports
Track & Field
Triple Play (Boys and Girls Clubs only)
Volleyball
Wrestling