What is your name?
What is your email?
What is your phone number?
What city and state do you reside in?
Do you have a specific dollar amount you are requesting for this grant?
As a 2019 Para Guide grant recipient I am willing to participate in the following (check all that apply)
How will you use this grant? The purpose of the grant is to support athletes in the areas of coaching, training, travel, competition and equipment maintenance. Please tell us how you will utilize this grant for the 2019 season?
How will this grant help you to make a difference for someone else? It is the goal of Para Guide to “make a difference” for the individuals that we support. Please tell us how this grant will help you make a difference for someone else. Will you raise awareness for your cause? Will you inspire someone to be better? How will you “make a difference”?
By checking the box below I declare under penalty of perjury (under the laws of the United States of America) that the foregoing is true and correct.