Out of the Box Grant

Out of the Box Grant
Grant requests should be made in conjunction with your local NC Community Tennis Association (CTA). Checks will go through your CTA. For more information about your CTA, please contact Chris Bryce (chris@nctennis.com).
Contact Information
Sponsoring CTA
Program Name
Program Coordinator
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number

Area CodePhone Number
Checks payable to (please include address if different from above)
Partnership Information

If you are partnering with another organization in your efforts, please provide that information below. Partner organizations could be your local Parks & Rec department, an after school program provider, a facility, etc.
Partner Organization Name
Is the Partner Organization a 501(c)3 corporation?
Is the Partner Organization a 501(c)3 corporation?

YesNo
Provide a description of the Partner role in this endeavor.
Program Information
Please provide a detailed description of your planned program
Who will will offer/coordinate/administer this program? Please list all known staff and volunteers
How will you market or promote your program
How do you plan to generate revenue and create self-sufficiency for your program?
Targeted age groups

Youth (18 & under)Collegiate (19-25)Adult (25-49)Senior (50 & over)
Targeted ability levels

Novice/BeginnerIntermediateAdvancedTournament level
Program start date

MonthDayYear
Date
Program end date

MonthDayYear
Date
Program hours offered per week
Locations and times
Please list program facilities and addresses, and indicate days/times program will be offered at each respective location
Estimated participants
Estimated courts used
Types of facilities used

Private (club)Public (park/club)SchoolYouth organizationOther
Budget Summary
Expenses

The following items are not covered under grant guidelines:

1. Head instructor's salary over $15/hour, and Assistant Instructors' salaries over $10/hour

2. Tennis facility equipment, e.g., nets, windscreens, ball machines, etc.

3. Season-ending banquets/events

4. Travel expenses associated with events
Head Instructor
Head Instructor $/hr
Head Instructor anticipated total pay
Assistant Instructor(s)
Assistant Instructor(s) $/hr
Assistant Instructor(s) anticipated total pay
Number of volunteers
Publicity expenses
Please indicate which promotion items you will use (e.g. flyers production, flyer mailing, ads), those items' respective cost per unit, respective number of units needed, and anticipated total costs
Court rental
Please indicate number of courts needed, total court hours needed, cost per hour, and anticipated total costs
Other expenses
Please explain in detail
Grand total expenses*
Income

List any revenue sources for your program. All programs are encourage to charge a nominal fee.
Registration fees
Please indicate program fee, anticipated number of participants, and anticipated total income
Scholarships
Please indicate scholarships amounts, anticipated number of scholarships, and anticipated total income
Sponsorships
Please indicate program sponsors and sponsorships totals
Donations
Please indicate program donors and donation totals
Grand total income*
Income less expenses*
Total grant amount requested*
Total Amount Granted
Reviewed By
Date

MonthDayYear
Date
Should be Empty:

Out of the Box Grant

Contact Information

Partnership Information

Program Information

Budget Summary