GRANT APPLICANT * required
First Name *

Last Name *

Position/Title (if applicable) 

Phone: * (include area code)

E-mail: *

Please re-type your email address: *

School or Rugby Club Name:*

Address Line 1: *

Address Line 2 : *

City: *

State: *

Zip Code: *

FUNDING
Level of Funding Requested:
$

FUND RAISING
What fund-raising activities has the program
undertaken to meet their expenses?


What fund-raising efforts are planned?*

STATUS OF PROGRAM:
Number of players, coaches; program history:*


PROGRAM DEVELOPMENT
How will the securing of a HYRA grant assist in the
growth and development of the program? *

What is the program’s definition of success?:*


What are the goals, objectives and expectations of the program?
This year? Next five years? *

What efforts are planned to increase the participant base? *
e.g. Player, coach, referee, administrator, other “friends of rugby”