USBA Grant Application

Athlete-Advised fund. Please fill out this page one time for each event or training period.

APPLICANT INFORMATION

Full Name

Mailing Address

City, State, Zip

Email Address

Phone Number

Birthday

Month

Day

Year

PARENT or LEGAL GUARDIAN

(This section is ONLY required if applicant is under 18 years old.)

Full Name

Mailing Address

City, State, Zip

Email Address

Phone Number

GOALS and OBJECTIVES

Describe goals for the current year of training and competition(s).

Describe longer term goals.

Describe current training plans and environment. Include number of years there, types of workouts, and coaching details.

How would a grant from USBA help you achieve your goals?

Attachment(s) (Resume, Letter of Recommendation, Budget, etc.)

File upload(s)

GRANT REQUEST DETAILS

Total Amount Requested

Funds Transfer Method Wanted (Choose ONLY One)

Zelle Email Address (provide details below)

Check Recipient and Full Mailing Address (provide details below)

Above Selected Funds Transfer Method Details

STATEMENTS and SIGNATURE

Statements:

I have attached a detailed budget for this request using the templates provided by USBA.

I have no known conflict of interest with any of the board members of USBA.

I authorize USBA to use my name, image, and likeness as it sees fit to advertise, solicit donations, support athletes, and further the goals of USBA.

I understand that grants are awarded through USBA’s Grant Distribution Guidelines.

I understand that if I have fundraised for USBA, I am not guaranteed to have earmarked funds through this application.

If awarded a grant, I understand that I will only be given funds for reimbursements with recipients as specified through the detailed budget.

If awarded a grant, I understand that it will expire one year from the award date.

I understand that USB retains the following percentage of any funds brought into the athlete Fund from a specific athlete through fundraising in order to offset its cost, and these funds will not be distributed to any athlete:

At the conclusion of racing season, I will submit a letter stating funds were used as intended.

USBA will retain 3% of donations made through community and grassroots fundraising efforts to support the organization's operations.

By signing below, I do attest that the statements and information contained in this application and in any attachments made as part of this application are true and correct to the best of my knowledge

Signature

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