Grant Accountability Form

Section / District Accountability Form

This form must be completed and submitted promptly upon the conclusion of your program. If you are awaiting the second half of your grant, you will receive the check within 10 days of submission of this form.

**Failure to submit this form will result in denial of future funding **

1. Applicant Information *This question is required.

Organization Name:

Program Name (if different):

Contact Name:

Email:

Phone:

Mailing Address:

City:

State:

Zip:

2. Type of Grant Received *This question is required.

3. Total Amount Granted: *This question is required.

4. Describe your grant expenditures with dollar figures. Please be specific. *This question is required.

5. Describe the primary objective of this grant. *This question is required.

6. How many actual participants? *This question is required.

7. What percentage of participant growth was seen (if applicable) This question requires a valid percent format.

8. Please use the slider to rate your program's success in achieving your goals: *This question is required.

Not Successful

Completely Successful

9. Will the program/project be continued next year with local funding/resources? *This question is required.If yes, please describe the local funding/resources to be used. If no, please explain. Please use the text box below.

Comments *This question is required.

10. Please upload receipts here:

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11. Please upload local publicity your program generated or photos from the program:

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12. Please upload any other materials showing the impact this grant had on tennis programming in your community:

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