Organization Name

Street

City

State/Province

Zip/Postal Code

County

First Name

Last Name

Email

Account Phone

Website

How did you hear about Leveling the Playing Field? Please be as specific as possible.

Which of our two warehouses are more convenient for you to visit?

Baltimore, MarylandPhiladelphia AreaSilver Spring, MarylandNeither; I am part of an out-of-state/international program

Mission Statement

Please describe the demographics of your organization (age, gender, economic status, education, etc.). Please also include FARM student information.

Explain how you are currently using sports as a vehicle to teach children valuable life skills.

What is your current athletic budget? Do you receive any money from the city/county for athletics?

Where have you received equipment up to this point (athletic budget, family donations, out-of-pocket from teachers, etc.)?

Have you partnered with other outside recreational programs in the past in terms of funding or equipment grants? If so, please identify and explain the partnership.

What current facilities do you have/use for for athletics (gymnasium, fields, track, etc.)?

What sports do you currently offer?

What other sports do you hope to offer?

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To confirm completion, please "check" TRUE.

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