CTA Rewards Assessment
Please fill this form out for every level, not just to the level you think you will acheive. Deadline for submission is 12/1/25
CTA Name
*
Person Filling out Form
*
Email
*
example@example.com
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please check all programs delivered by your CTA.
USTA Sanctioned event/tournament
NJTL program
Ladder program
USTA JTT program
USTA Adult League program
USTA Junior Circuit Tournament/program
A minimum of two Try Tennis (or Try Match or Try Play) sessions per year
Runs/Assists with Abilities Tennis programs
Runs/Assists with Wheelchair programs
Runs/Assists with other Adaptive Tennis programs
Growth Program
Other
What is the Other Adaptive Tennis Programming?
Additional (or explanatory) information you would like the committee to know about your Programming
Bronze Level - Please check all items that apply to your CTA
We are a USTA organizational member
We are a USTA registered CTA
We are incorporated with NC Secretary of State
We have filed a 990 in the most recent tax year
We have a copy of our Articles of Incorporation
We have a copy of our Bylaws
Provide a list of board members to USTA North Carolina
We have a signed a Memorandum of Understanding with USTA North Carolina
Our CTA had representation (Staff or Volunteer) at NC CDW and/or Tennis Weekend
We have a Serve Tennis Account
Our CTA has a mission statement
We have filed for or have nonprofit status with IRS
USTA Organization Number
Federal Tax ID/EIN Number
Upload Bylaws
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List your current Board Members and their positions.
What is your CTA Mission Statement
What is your Non-Profit Status with IRS
501(c)3
501(c)4
We have filed for Non-Profit Status but have no answer yet
We filed for Non-Profit Status but were rejected
Have not filed for Non-Profit Status
Other
Additional (or explanatory) information you would like the committee to know about Bronze items
Silver Level - Please check all items that apply to your CTA
Provide Annual Financials (Budget & Balance Sheet) to NC Tennis
We hold BOD meetings with recorded meeting minutes min 3x per year
We have a recruitment process for BOD/committee members/volunteers
We have written job descriptions for BOD/committees
We have Liability Insurance
We applied for the Community Growth and Participation Grant (CGPG) last year
We have at least 2 working committees
We have met with Parks and Recreation leadership (or its designated Tennis Providers) within last year
We have current and updated social media channels
Our Board Members sign a Confidentiality Agreement
Hosted a Coaches Training or Grow the Game Workshop
Host a National Tennis Month or Open Tennis Fest event
We provide reports to USTA North Carolina Area Director biannually
All of our appropriate staff and volunteers are Safe Play Approved
Click the box below if you provided Financials as part of the CGPG Process
Upload most recent Annual Budget
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Upload most recent Balance Sheet
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What are your Working Committees (minimum 2)
Which Social Media channels do you use and what are your handles on those? (ex. we use Instagram and our handle is @ustanorthcarolina)
What type of Coach Training/Grow the Game Workshop did you hold?
Additional (or explanatory) information you would like the committee to know about Silver items
Gold Level - Please check all items that apply to your CTA
We have a BOD succession plan in place
Held 2 standalone Red Ball events OR 1 Red Ball Series
Use Serve Tennis in some capacity (Website, Event Registration, Event Promotion, etc)
We take Part in a Community event run by another organization.
We have at least 3 working committees
We maintain and regularly update our CTA Website
We have attended and spoken at a local Government Meeting (city/town council meeting, Parks and Rec Commission, etc)
We have a published DEI statement
We distribute a CTA newsletter
Our CTA has participated in 2-3 industry run webinars (USTA, TIU, PTR, etc)
We have at least 1 current CTA member (staff/BOD/volunteers) on USTA NC Committees
Our Board Members sign a Conflict of Interest Agreement
We have Directors & Officers Insurance
How do you use Serve Tennis?
What was the Community Event (run by another organization) that you participated in?
What are your Working Committees (minimum 3)?
What is your website address?
Provide a summary of when you spoke at a local Government meeting (Include Type of meeting, date of meeting, and summary of the information you shared).
What is your published DEI Statement and where is it published?
Subject Matter of the Industry Webinars you attended.
Name of current CTA member (staff/BOD/volunteer) who is on a USTA North Carolina Committee
Additional (or explanatory) information you would like the committee to know about Gold items?
Platinum Level - Please check all items that apply to your CTA
Sponsor/host/run a charitable event AND have Charitable Solicitation License
Our CTA Donates equipment to area schools and/or community organizations
We have met directly with leaders of a municipality in our area
We have at least 1 current CTA member (staff/BOD/volunteer) participate on a USTA Southern Committee
We have at least 1 current CTA member (staff/BOD/volunteer) participate on a USTA National Committee
We provide a local scholarship or charitable giving to other non-profits
We are a Community Partner (through Net Generation) with a local school
Our CTA has a DEI Committee
We have a Strategic Plan written or updated within last 5 years
We have a defined plan to develop a diverse board (minimum target of 20% diverse Board Members)
Our CTA has participated in 4+ industry run webinars (USTA, TIU, PTR, etc)
We have placed a Tennis Pantry in our Community
Charitable Event Name & Date
Summarize your BOD Diversity Plan or upload a document below
Upload your BOD Diversity Plan (no need if your summarized above)
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Name of current CTA member (staff/BOD/volunteer) who is on a USTA Southern Committee
Name of current CTA member (staff/BOD/volunteer) who is on a USTA National Committee
Name of Community Partner School (Through Net Generation)
Subject Matter of the Industry Webinars you attended.
Additional (or explanatory) information you would like the committee to know about Platinum items
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