Application for Assistance 2017-12-02T00:58:15+00:00

Application for Assistance

*Must be completed in full, denotes a required field

Application for Assistance
First Name
Last Name
Street Address
Street Address Line 2
City
State/Province
Postal / Zip Code
Country
Area Code - Phone Number
Area Code - Phone Number
Area Code - Phone Number

Hardship and Need must be a result of hardship, financial or otherwise, injury, or personal life events that may limit the opportunity to participate in training, receive needed coaching, attendance to a sports camp, or participation in an organized sporting activity. An applicant must first demonstrate a hardship which requires charitable assistance. Some examples may include: money for food while training, housing, coaching, travel, or transportation for example.

PLEASE READ BEFORE SIGNING

I certify this application form has been completed by me and is true and correct. I authorize any member(s) of the Grant Committee to investigate, as necessary, any statements made in this application in order to make a determination regarding my GRANT Request. I understand I will be notified in writing the disposition of my application. Further, I hold harmless the PSF, Board of Advisors, and all other committee members from any and all liability resulting from the disclosure, investigation, and subsequent disposition of the request for assistance.

Sending

The Protex Sports Foundation is an independent 501(c) (3) organization approved by the
US Internal Revenue Service. All Donations are Tax Deductible.

Protex Sports Foundation
1564 De Anza Way
San Jose, CA 95125