Fillable Collegiate Grant Application 290120193616

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Collegiate Grant Application 290120193616

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USA Archery Collegiate Archery Program Grant Application
City: State: Zip:
Club Contact Information:
Collegiate Archery Program Name:
Requestor’s Name:
College/University Contact (Not an Archer):
Address:
Phone: Email:
About the Program:
1. Date registered with USA Archery: _____/______/___________
2. Please list the number of archers in the program:
a. With USA Archery Memberships: _____________
Note: All archers are required to have a USA Archery Membership
3. Please List the program's certified instructors and/or coaches full names as well as
their Certification Level:
a. USA Archery Level _______________
b. USA Archery Level _______________
c. USA Archery Level _______________
d. USA Archery Level _______________
e. USA Archery Level _______________
If Program has more than 5 instructors or coaches, please attach a separate page.
4. How often does the team meet?
5. Please describe the facility or range where your team practices:
1
Name of School (Example : University of Alabama):
6. Please provide a brief history or mission of the program:
7. Please list any additional sources of revenue during the last year (i.e. fundraising,
community civic group donations, membership dues, individual contributions etc.):
8. Please tell us what type of activities or accommodations the team provides to support the
inclusion of all participants in the sport of archery (including archers with disabilities,
economically challenged archers, minority, or otherwise underrepresented archers):
9. Please describe how grant funds will be used to recruit and retain archers:
10. Please list the name and location of all events the team attended in 2019 and to
date in 2020:
2
11. Strategic plan: USA Archery wants to make sure that the program has a plan for
sustainable longevity in place. Grant funds are not meant to be the sole means of the future
success of the program. Please describe the program's 2-year strategic plan (Points of
Consideration: Time line for use of grant funds, explanation of how grant funds will be used,
demonstrate a need for the funds, how will the funds help grow/improve the program, how
will the funds help develop a path for archers to reach individual and team goals, how will
success/goals be measured, athlete development, event participation, program finances):
Please use additional pages as necessary to answer any questions.
3
Easton Foundations Collegiate Grants Check List & Shipment Form
Complete Application under the legal name of college/university. (Only submit the application under the club name if
club is a 501(c)(3) or Government Entity
All required contact information
Detail equipment list with all specifications (qty, color, size, weight, etc.., NO Compound Equipment-if requested
equipment is out of stock, items may be backordered or replaced with similar item)
IRS exemption letter (This IS NOT the Sales Tax Certificate or the W9 Form) Call IRS at 1-877-829-5500 to obtain a copy if
you don’t have one.
FEIN#
Shipment Required Information:
Date:
Organization Legal Name:
Business Telephone #:
Organization Physical Street Address:
City:
State:
Zip Code:
College/University Shipping Address (MUST BE THE SCHOOL SHIPPING ADDRESS. NO DROP SHIPMENTS TO NON-SCHOOL ADDRESS)
City:
State:
Contact Name:
Contact Email:
Contact Telephone #:
Contact Cell #:
Delivery Hours:
Delivery Contact Name:
e3
Delivery Site Contact Tel#:
Delivery Site Contact Cell #:
Special Instructions (NO RESIDENTIAL ADDRESSES):
Complete this form if requesting a Blue Tier Equipment Kit and/or
program is applying as a 501(c)(3)
4
NOTE: Equipment shipped from Easton Foundation must be shipped directly to school
Please indicate the categories your program is requesting funds for by checking the appropriate box (es)
below.
Note: If requesting an Equipment Grant, the program should request either a Blue Tier Equipment Grant or a
Red Tier Equipment Grant. If a program requests both, the application will not be considered. Programs
may request funds for Compound/3-D Equipment in addition to a Blue Tier or Red Tier Equipment Grant.
Easton Sports Development Blue Tier Equipment Grant
Please complete Appendix B
A complete list of items included in the Blue Tier Equipment Kit can be found in the Blue
Tier Equipment Kit Spreadsheet (note: equipment is subject to change without notice.
Items are not customizable)
Check this box if you wish to have backstop netting included with your shipment
Red Tier Equipment Grant (Maximum Amount: $1,750)
Note: This option is for Recurve Equipment and general accessories such as target bales,
stands, etc. only. Must provide detailed equipment list with all specifications (qty, color, size,
weight, LH/RH etc.)
Amount Requested: $_________________
Please Complete APPENDIX B & C.
Compound and 3-D Equipment Grant (Maximum Amount: $1,750)
Please Complete APPENDIX B & C.
Travel Grant (Maximum Amount: $1,000)
Amount Requested: $_____________________
Please complete APPENDIX D.
Instructor and Coach Certification/Development (Maximum Amount: $500)
Amount Requested: $______________________
Please complete APPENDIX E.
5
Is the program a 501(c)(3) Nonprofit Organization?
Yes (please attach IRS 501(c)(3) Determination Letter - may use University IRS Determination
Letter
No (If applying for the Easton Foundations Blue Tier Equipment Grant, the organization
must be a 501 (c)(3) Nonprofit Organization).
APPENDIX B
Equipment Kit Grant
Please provide the following information if requesting a Blue Tier Equipment Grant, Red
Tier Equipment Grant, or funds for Compound/3-D Equipment:
1. Timeline for use of the grant funds/equipment:
6
APPENDIX C
Guidelines
The intent of the equipment grant is to support long-term equipment usage for the program. Items
requested should be for beginner-intermediate level archers, target bales, target stands, etc. Please
do not request high-performance equipment that would benefit individual archers.
1. Please provide a detailed explanation of why the program is requesting individual
equipment items, and how it will help the program to reach its competitive goals
(developing competitive archers, club’s ability to compete in events etc.)
7
1
2. Please provide a detailed equipment list of items to be purchased with the grant money to
include: Item, Vendor, Quantity, Color, LH/RH, Size, Weight, Cost:
Item(s):
Vendor:
Quantity:
Unit Price:
Total Price:
Recurve Bows/Accessories:
Arrows:
Target Matts/Stands:
Other:
Item(s):
Vendor:
Quantity:
Unit Price:
Total Price:
Compound Bows/Accessories/3D:
8
APPENDIX D
Travel Grant
Guidelines
The intent of the travel grant is to support athlete travel to U.S. National Outdoor Collegiate
Championships and U.S. National 3-D Collegiate Championships.
1. Explanation of why the program is requesting travel dollars:
2. Timeline for use of the grant funds:
3. The Travel Grant should not be the sole means by which a program supports sending
archers and coaches to events. Please explain other sources of revenue the program
has to support travel, if the program is able to match the grant funds received, and
what the long-term plan of the program is to support team travel:
9
4. Please provide a detailed list with a breakdown of each item that will be purchased with the
grant money to include: Item, Vendor, Quantity, and Cost (Example: hotel rooms, hotel name,
number of rooms etc.:
Item(s):
Vendor:
Quantity:
Unit Price:
Total Price:
10
APPENDIX E
Instructor and Coach Certification/Development
Grant
Guidelines
The intent of the instructor and coach certification grant is to support and grow
coach development within the club. 2020 grant dollars may be used for the following:
2. Timeline for use of the grant funds:
11
• Level 2, 3NTS*, 4NTS* Coaching certification courses and affiliated travel expenses
• USA Archery National Symposium*
*For head coach only. Grant is intended to be used for airfare and lodging.
Explanation of why the club is requesting instructor and coach certification/development
dollars:
APPENDIX E
Instructor and Coach Certification/Development
Grant
Please provide a detailed list of event information: If requesting funds for travel (airfare,
gas money, hotel rooms etc.) please indicate cost for each on a separate line. If requesting
funds for a certification course, please include instructor name.
Event Name
Name of Person Attending: Date: Cost: Location:
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Additional Notes:
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Completed 19 July 2020

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