General Grant Application

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US Rugby Foundation Grant Application

Organization Name

(If an Individual, list the Organization to whom the individual belongs)

Title of Contact

(Within the Organization)

Contact First Name *

Contact Last Name *

Contact Email *

Contact Cell Phone *

Contact Home or Work Phone *

Organization Street Address *

Organization City *

State/Province *

Zip/Postal Code *

Organization Country *

Select one that applies to the address you entered

Business

Residence

Brief Biographical History of the Organization

Link to Web page or Social Media

Description of your grant request *

Grant Start Date *

Grant End Date *

If your organization is awarded this general grant, do you agree to share your testimonial for use on USRF website and social media?

I Agree

Attach Organization Logo

Attach Grant Proposal

Secure Payment

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Reports

The applicant must commit to providing periodic reports as requested by the Grant Committee (at least annually) describing the progress of the project and the use and sources of funds spent on the project.

Do You Agree? *

Yes, I agree to provide reports as listed above

Required Certifications and Release

Applicant Certification: I certify the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that could otherwise jeopardize consideration of this application.

Do You Agree? *

I agree

Agreement of Terms

I certify that I have read carefully the criteria for the USRF Grant to which I am applying. I understand that if I do not submit the information required, if it arrives late, is faxed, or the materials are not submitted together, my application is incomp

Do you Agree? *

I agree

Press and Media Release

If selected to receive a Grant, I authorize the United States Rugby Foundation to use my name, photograph and any other information for press and media purposes. This information is required – if a box is not selected, your application will be considered

Do You Agree? *

Yes, I authorize the United States Rugby Foundation full use of my name, photo and other information.

US Rugby Foundation Grants

Checklist for United States Rugby Foundation Grants *

Did you complete all sections of the USRF Grant Application?

If this is a Health and Safety Initiative Grant did you include the Applicants CV and the Academic institution involved, as well as the list of presentations and publications related to the Grant request?

Did you make a copy of your USRF Grant Application for your Files?

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Secure Payment

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