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2022 NCAS Grant Application

To apply, please complete the following application before 11:59 p.m. EST on July 22, 2022. Applications will be reviewed by the NCAS Endowment Fund Committee and applicants will be notified of their status no later than November, 31, 2022. The maximum grant awarded is $5,000. Involvement with North Carolina Amateur Sports, the BODYARMOR State Games and/or Cycle North Carolina is preferred.

Grant recipients are required to submit a full accounting for how the grant funds were expended along with a progress report within 12 months after receiving any approved funds.

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First Name *

Last Name *

Email *

Address *

City *

State *

Zip Code *

Phone Number *

Project Title *

Project Director *

Amount of Request *

Total Cost of Project *

Have you received a grant from the NCAS Endowment Fund before? *

Yes

Please list any other commitments received & related amounts.

Commitment and Amount

Name of 501(c)(3) non-profit organization to which grant check should be written (enter *

If a 501(c)(3) organization is not available, list the person to whom the grant check should be written (this person will receive IRS form 1099-MISC and will be responsible for any income taxes)

Please upload a proposal that includes the following information:

1. An overview of the organization, or background on the individual applying for the grant
2. A brief description of the request and an explanation of how the grant funds will be used
3. The objectives of the program in measurable terms -- What will you accomplish as a result of this grant?
4. A timetable for the project and the expenditure of the requested funds (All funds must be expended within one year of receipt unless otherwise stated)
5. A description of staff involved and qualifications of individuals involved in carrying out projects
6. Describe how you will evaluate the results of this program
7. Describe how the contribution will be publicized and promoted
8. Description of current involvement with North Carolina Amateur Sports, the BODYARMOR State Games and/or Cycle North Carolina.

Upload your proposal here. *

File must be in PDF format.

Upload a copy of the organization's budget. *

File must be in PDF format.

Upload a copy of the budget for the funding that is being requested with a financial breakdown of income and expenditures. *

File must be in PDF format.

Upload a list of your organization's board of directors and their affiliation/occupation in the community. (Not required for individuals seeking grants.) *

File must be in PDF format.

Upload proof of your organization's tax exempt status (if any).

File must be in PDF format.

Upload verification of your current skill level by two coaches or administrators if you are an individual applying for funding to assist with training, equipment, etc. Letters of recommendation from the National Governing Body for your sport are strongly recommended.

File must be in PDF format.

By checking this box, I hereby certify that the information contained in this application is truthful. I understand that if a 501(c)(3) organization is not provided that I am responsible for the payment of taxes on the funds I receive under the guidelines of the Internal Revenue Service. I understand that the NCAS Endowment Fund Committee strongly prefers that a 501(c)(3) organization be designated. *

Applicant Signature (Please type your name.) *

Submit

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