| Please take a few minutes to complete the form below and click "preview" at the bottom when you have concluded. |
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 | Enter a valid email address. Example: name@company.com |
 | Enter a valid phone number. Example: 123-456-7890 |
 | Enter a valid phone number. Example: 123-456-7890 |
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| Make Check Payable to (checks cannot be made payable directly to individuals) |
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| Number of years in present position |
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| Have you previously received a USTA/ITA Grant? |
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| If you have recieved a USTA/ITA Grant for Tennis On Campus in the past, please highlight each year you received funding |
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| Are you currently working with a USTA section or district staff person? |
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| Has the Recreation or Intramural Director (NIRSA member) inquired about conducting these programs jointly? |
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| If yes, please provide the name and position of the USTA staffer or volunteer |
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| Which type of program do you plan to lead? |
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| What grant amount are you requesting? (up to $750) |
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| How many participants do you expect to have in your program? |
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| How will you promote the program? |
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| Provide a detailed projected budget for the funds that you are requesting? (Include such things as administrative coordinator fees, marketing and publicity, equipment, etc) |
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| Since this funding is being provided on a one-year basis, how will this grant help to create a self-sustaining community tennis program/event in the future? |
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| Some additional information |
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| Do you currently run a USTA sponsored recreational program (i.e. Adult Tennis) on your campus? |
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| If yes, which one(s)? How many participants are in each program? |
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| What other recreational tennis programs are you currently running on your campus? |
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| Please list and describe any other USTA sponsored programs that you have run - USTA/ITA Campus Showdowns, USTA/ITA Campus Kids Days, USTA/ITA Campus QuickStart, 10 & Under Tennis events (including tournaments, Adopt-a-school and Junior Tennis Programs). |
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