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I. USTA MIDDLE STATES SECTION GRANT APPLICATION IMPORTANT APPLICATION INFORMATION; PLEASE READ: All grant applicants including all lead coaches working with youth under the age of 18 MUST be approved on NetGeneration.com (www.netgeneration.usta.com) prior to submitting this grant application. USTA MS Grants are available to non-profit organizations that provide community tennis programming. All completed applications will be reviewed by a staff and volunteer review board and decisions will be communicated within 60 days of the application deadline. GRANT ELIGIBILITY Financial support will be awarded only to organizations; applications by individuals will not be accepted. Applying organizations must be open to all people, regardless of race, creed, religious belief and nationality. Please note that in order to apply for a USTA Middle States Grant, your organization must be an active USTA Organizational Member. To apply or renew your membership, please go to the following website: http://membership.usta.com/section/organizational-memberships/122.uts Priority will be given to those programs which target new players, link their program(s) to USTA Tennis programs, are a registered Community Tennis Association, NJTL Chapter, USTA Junior Team Tennis Program, Tennis On Campus, Adaptive Program, Wheelchair Program, Multicultural Program, 10 and Under Tennis, Adult Learn to Play, Local Play and Competition, Millennial Programming or School Tennis Program. Programs or Individuals are only eligible to apply ONE time per year. PLEASE PRINT & READ THE PROGRAM GRANT GUIDELINES AND NARRATIVE INSTRUCTIONS BEFORE COMPLETING THIS APPLICATION. These documents can be found on our grants web page. Please visit www.playtenniswithus.com, hover over the "Organize" tab, click on "Grants & Assistance", then scroll down to and click on "Program Grants". There is a link to each document, which you can click on, print, and review information. NOTE: There is no option to "save" your work; however, if you need to exit the application prior to submitting it, you can close the application and then return using the EXACT SAME COMPUTER and the same web link another time. The application should return to where you left off and your previous information should still be there. Please only submit applications online. We will not accept mailed or faxed applications. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. Application deadlines are as follows:

1st period: January 31 2nd period: March 31 3rd period: July 31

II. GENERAL APPLICANT INFORMATION * 1. General Applicant Information Organization Name: Program Name (if different): Check To Be Made Out To?: (checks can not be made out to an individual) Contact Name: Position/Title: Mailing Address: City: State: Zip: Email: Phone: Additional Contact Name: Title: Email: Phone: * 2. Please check which USTA MS district you are located in (Districts are determined by Zip Code): Allegheny Mountain District (AMD) (15001-16546, parts of WV 26003, 26030-26041, 26047, 26050, 26055, 26056, 26058-26060, 26062, 26070, 26074-26075) Central PA District (CPD) (16601-17889) Delaware District (DD) (19701-19980) New Jersey District (NJD) Philadelphia Area Tennis District (PATD) (18901-19492) DELAWARE OR PHILADELPHIA COUNTY Philadelphia Area Tennis District (PATD) (18901-19492) BUCKS, CHESTER OR MONTGOMERY COUNTY Eastern PA District (EPD)(17901-18854 & 19501-19640)

NET GENERATION JOIN THE FUTURE OF TENNIS Net Generation, an official part of USTA, makes it easier and more fun to get kids and teens into tennis. Together, we're going to grow the game of tennis. Net Generation Empowers Providers with the latest tools and curricula. To be eligible to APPLY for a USTA Middle States Program Grant, you and your organization's lead coaches working with youth under the age of 18 MUST approved on Net Generation. * 3. Have you registered on Net Generation Yes No If you have not registered, please go to https://netgeneration.usta.com * 4. Have you entered your program(s) into the Net Generation Program Management Center? Yes No

III. USTA MIDDLE STATES PROGRAM GRANT DESCRIPTIONS United States Tennis Association Middle States (USTA MS) is committed to promoting tennis at the local level. To that end, USTA MS offers grants to assist non-profit organizations to initiate or expand their tennis programming activities. Program Grants may be used to start instructional programs and/or leagues for players of all ages, abilities, and populations. TYPES OF USTA MS GRANTS: USTA MS Program Grants will be awarded for a period of one year. PROGRAM GRANT AWARDS WILL RANGE BETWEEN $100 TO $3,000. ALL GRANTS WILL BE DECIDED UPON BY A STAFF AND VOLUNTEER REVIEW BOARD. A. COMMUNITY TENNIS ASSOCIATION START-UP AND EXPANSION: For expenses related to developing a USTA member Community Tennis Association including: incorporation fees, rental of facilities, costs of equipment, etc. B. USTA SCHOOL TENNIS: Funding for elementary, middle, junior high and high schools who interested in starting or expanding upon their school tennis program. This includes integrating tennis into their PE Curriculum or running before/after school programs. Schools are encouraged to integrate Junior Team Tennis into their School Tennis programs. C. NATIONAL JUNIOR TENNIS AND LEARNING START-UP AND EXPANSION: For creating or expanding USTA Tennis National Junior Tennis and Learning (NJTL) that also provide some type of educational support service, including homework clubs, mentoring and tutoring programs, SAT review courses, and guidance counseling. NJTL programs and chapters are highly encouraged to run USTA Jr. Team Tennis. D. USTA JUNIOR TEAM TENNIS: For creating or expanding Junior Team Tennis leagues registered on TennisLink. E. USTA ADAPTIVE TENNIS OR WHEELCHAIR TENNIS: For creating or expanding community tennis programs for special populations including persons with mental, emotional, physical and developmental impairments. F. MULTICULTURAL PARTICIPATION: For creating or expanding tennis programs in diverse communities. G. YOUTH TENNIS: For programs looking to start or expand tennis programming, that utilizes the the proper red, orange, and green youth progression format. H. TENNIS ON CAMPUS: New Tennis On Campus teams/clubs forming in our section are eligible to apply for support to cover travel and start-up expenses. All applicants must be recommended and approved by Middle States Manager of Adult Competition.

I. ADULT LEARN TO PLAY: For creating or expanding tennis programming for beginner adults, utilizing transition equipment such as red, orange, and green balls. J LOCAL PLAY AND COMPETITION: With new, flexible formats of Junior Team Tennis and Entry Level Tournaments, it's easier than ever to align tennis with other youth sports. This grant is for creating or expanding upon local, non-travel introductory competition for tennis programs, including local, nonadvancing junior team tennis, team challenges, and entry level tournaments. K. YOUNG ADULT (ages 18-39) PROGRAMMING: for any programs interested in tennis programming for the 18-40 millennial population. This can include innovative, flexible adult formats, sport and social leagues, tennis mixers, or anything else targeting this population. * 5. I have read and understand the descriptions of the types of grants available from USTA Middle States. Yes No - IF YOU DO NOT UNDERSTAND THE ABOVE DESCRIPTIONS BEFORE CONTINUING PLEASE CONTACT RENEE BRIDGES (bridges@ms.usta.com)

IV. PROGRAM & ORGANIZATION INFORMATION * 6. Type of Program Grant Requested - choose all that apply CommunityTennis Association Startup and Expansion USTA School Tennis National Junior Tennis and Learning (NJTL) Start-up and Expansion USTA Junior Team Tennis USTA Adaptive Tennis or Wheelchair Tennis Multicultural Participation 10 and Under Tennis USTA Tennis On Campus Adult Learn to Play Local Play and Competition Millennial Programming * 7. Have you met with and discussed this program with your local TSR (Tennis Service Representative) or Middle States Staff? Yes No - PLEASE CONTACT YOUR LOCAL TSR (SEE BELOW CONTACT INFO) PRIOR TO COMPLETING THIS GRANT APPLICATION. TENNIS SERVICE REPRESENTATIVE (TSR) CONTACT INFORMATION Kelle Cunningham - AMD cunningham@ms.usta.com 724-554-4471 Cathy Shaak - CPD shaak@ms.usta.com 717-383-0537 Kelly Rasero - DD rasero@ms.usta.com 610-742-1337 Angela Jones - EPD ajones@ms.usta.com 908-875-3137 Lori Schwartz - NJD schwartz@ms.usta.com 609-654-6151 Kitty Perrin - PATD kperrin@ms.usta.com 215-355-9367

* 8. USTA Organizational Membership Information Note: USTA Organizational Membership MUST be valid through the end of the year. IF YOUR ORGANIZATION IS NOT A USTA MEMBER OR THE MEMBERSHIP HAS EXPIRED, PLEASE CALL MEMBERSHIP SERVICES AT 1-800-990-8782 (3 YEAR MEMBERSHIP ENCOURAGED). USTA Organization Member Number: Organization Member Expiration Date: * 9. Organization Information: A. Is your organization a Community Tennis Association? (Y or N): B. Is your organization a 501(c)(3)(tax exempt) corporation? (Y or N): C. If no, what is your organizations not-for-profit status or name of fiscal agent (fiscal sponsor)? D. Is your organization a NJTL? (Y or N):

* 10. Please provide a brief explanation of the tennis program you are requesting funding for. * 11. Age Groups Targeted Youth (10 & Under) Youth (11-18) Young Adult (18-39) Adult (40-60) Senior (60+) * 12. Ability Level of Participants Beginner Intermediate Advanced Tournament Level

* 13. Program & Participant Details Program Start Date: Program End Date: Days Per Week: Hours Per Day: Years in Existence: Estimated Number of Participants In Tennis Program: # Of Past Participants: Location of Program: * 14. Previous USTA National Grants Funding: Has your organization or your program ever received any National Grant Funding? Yes - If yes, please list ALL amounts and dates of funding below. Example: 2015 - Recreational Tennis Grant - $10,000 No Please list all amounts, dates & name of grant received at National Level.

* 15. Previous USTA Middle States Program Grants Received: Have you or your program every received USTA Middle States Program Grants in the past? Yes - if yes, please list ALL amounts and dates of funding below. Example: 2015 - $500 USTA School Tennis, 2016 $500 CTA Start-Up No Please list all amounts, program type and dates of MS Program Grants Funding * 16. ACCOUNTABILITY FORM: All previous grant recipients must turn in their Accountability Forms to be eligible to receive future funding. If you answered YES to question 13, have you turned in your Accountability Form? Yes No - TO COMPLETE ACCOUNTABILITY FORM PLEASE Click here

V. PROGRAM SUMMARY & NARRATIVE Please explain why and how your grant will be used and provide a brief demonstration for need for funding support. * 17. Please explain the time line your project. * 18. Please provide us with how this grant will benefit your community, your overall goals for the program, objectives for meetings these goals, and how success will be measured.

* 19. Please explain your strategies for sustaining this effort, including other funding outlets, community collaborations, as well as any past successes that will help make this program a success.

VI. BUDGET FOR TENNIS PROGRAM To be considered for a USTA MS Program Grant, organizations must provide a clear proposed budget for the specific program(s)/project(s) they are requesting funding for. Please be as specific as possible. FUNDING (INCOME) & EXPENSES THE FOLLOWING WILL NOT BE FUNDED BY THE GRANTS REVIEW BOARD: OFFICE/OPERATING/ADMINISTRATIVE EXPENSES, T-SHIRTS, FOOD/DRINK, TROPHIES, AWARDS, PRIZES, LARGE EQUIPMENT NEEDS (EX. BALL MACHINES), BUILDING AND/OR RESURFACING COURT COSTS, USTA MEMBERSHIP AND/OR TRANSPORTATION COSTS, ETC.

* 20. Annual TENNIS funding (income) sources and amounts: Please report the dollar amount next to each source of funding that is applicable. For sources that are not applicable, you must enter $0 in each field. Membership Income: $ Participant Fees (# participants x fee =): $ Foundations: $ Corporations: $ Service Organizations: $ Fundraising Events: $ Local Sponsorships: $ In-kind Support: $ Earned Income: $ Other (Please list below): $ Please List Other Income: Example: Donation $500, State Grant $500 TOTAL TENNIS FUNDING RECEIVED ANNUALLY (Please add all reported income from above and list the total): $

21. Expenses: Eligible equipment expenses: Racquets, balls, mini nets, caution tape or painters tape, training equipment. Net Generation Approved Instructor/Organizer Wages & Fees (Please list instructors and $ amount below): $ Net Generation Approved Instructors/Organizers Names and Wages/Fees (Example: Bob Smith $1,000, Debra Jones$200, Jim North $200): Scholarships: $ Advertising/Promotions: $ Equipment (Please list equipment below): $ Please List Equipment requesting funding for: (Example: 25 21" racquets, 2 doz. foam balls, 5 nets) Facility Infrastructure: $ Court Rental (cost/hour X court hours): $ Other (Please list below): $ Other: (Example - Incorporation Fees for Start-up CTAs $150, Attorney Fees $350) TOTAL EXPENSES (Please add up all expenses reported above and provide the total amount of expenses: $

VII. GRANT AMOUNT REQUEST * 22. Total Grant Request: Please provide the total dollar amount requested by using the following formula: Total Expenses - Total Income = Total Grant Requested Example: Total Expenses: $2,500 Total Income: $1,000 Total Grant Requested: $1,500 Total Expenses: $ Total Income: $ Total Grant Requested: $ ** NOTE: The maximum amount awarded by the Middle States Program Grant Committee is $4000. 23. Additional Comments:

DISQUALIFICATION PAGE Please go to https://netgeneration.usta.com to register yourself and your program(s) to be eligible to apply for this grant. If you have any questions, please contact your Tennis Service Representative Kelle Cunningham - AMD cunningham@ms.usta.com 724-554-4471 Cathy Shaak - CPD shaak@ms.usta.com 717-383-0537 Kelly Rasero - DD rasero@ms.usta.com 610-742-1337 Angela Jones - EPD ajones@ms.usta.com 908-875-3137 Lori Schwartz - NJD schwartz@ms.usta.com 609-654-6151 Kitty Perrin - PATD kperrin@ms.usta.com 215-355-9367

End Page Thank you for applying for a USTA Middle States Program Grant. The following are the application deadlines Period 1 - Application period closes January 31 Period 2 - Application period closes March 30 Period 3 - Application period closes July 31 If you have any questions, please contact Renee Bridges bridges@ms.usta.com