GoGirlWorld: sportsreel: Survey - 2009 Ambassador Team Awards Online Entry Form

2009 Ambassador Team Awards Online Entry Form

Please make sure you have read and understood the Guidelines and Official Rules before continuing with the application.

TEAM INFORMATION

*1.

Question - Required - Participation level (Check all that apply):

	AAU
	High school
	JCC
	Boys & Girls Club
	PAL
	YMCA
	YWCA
	Girls, Inc.
	Girl Scouts
	Other

*2.

Question - Required - Team name:

*3.

Question - Required - Sport

*4.

Question - Required - Number of team members:

This information will not be used to determine which teams receive grant funding, but will help us know who we serve.

5.

Question - Not Required - Ethnicity (Optional/Include number of girls for all that apply). African American:

6.

Question - Not Required - Ethnicity. Asian:

7.

Question - Not Required - Ethnicity. Hispanic:

8.

Question - Not Required - Ethnicity. Indian:

9.

Question - Not Required - Ethnicity. Caucasian:

10.

Question - Not Required - Ethnicity. Other:

*11.

Question - Required - Team Captain

*12.

Question - Required - Address 1:

13.

Question - Not Required - Address 2:

*14.

Question - Required - City:

*15.

Question - Required - State:

*16.

Question - Required - Zip:

*17.

Question - Required - Home phone:

18.

Question - Not Required - E-mail:

19.

Question - Not Required - How did you hear about the program? Postcard
Web
Public Service Announcement
Email
Other

20.

Question - Not Required - If responded other, please specify

SCHOOL/ORGANIZATION INFORMATION

*21.

Question - Required - Check made payable to:

*22.

Question - Required - School/Organization Address 1:

23.

Question - Not Required - School/Organization Address 2:

*24.

Question - Required - School/Organization City:

*25.

Question - Required - School/Organization State:

*26.

Question - Required - School/Organization Zip:

*27.

Question - Required - School/Organization Coach's Name:

*28.

Question - Required - School/Organizations Coach's Day Phone:

*29.

Question - Required - School/Organization Email:

*30.

Question - Required - How many girls did your project impact?

PROJECT INFORMATION

*31.

Question - Required - What are the ages of the girls (Check all that apply):

	7 and under
	8-12
	13-18

32.

Question - Not Required - Project Start Date:

Month

Day

Year

33.

Question - Not Required - Project End Date:

Month

Day

Year

34.

Question - Not Required - How often did your project occur? Once
Weekly
Monthly
Annually
Other

PROJECT QUESTIONS
Please remember the project must show that your team has successfully encouraged other girls to participate in sports and physical activity. For project examples from past grantees, click here.
Maximum: 750 words

*35.

Question - Required - How did your team plan, organize and carry-out the project? (Please be specific.)

*36.

Question - Required - What did your team and the girls in your community take away from participating in your project?

*37.

Question - Required - Why did your team choose to do this project and what makes it unique?

*38.

Question - Required - My team is signed up at GoGirlWorld.org/Ambassador

*39.

Question - Required - I attest that the information submitted is true, original and meets the official rules to the best of my knowledge.

Additional Information:

If your team would like to share images that capture the spirit of your project, please submit photos/VHS/DVD/CD-Roms. Submissions must be clearly labeled with your name and address. Please note photos/VHS/DVD/CD-Roms are not mandatory and will not be judged.

Send to: Women's Sports Foundation, c/o GoGirlGo! Ambassador Team Awards, Eisenhower Park, 1899 Hempstead Turnpike, East Meadow, NY.

40.

To receive verification via email of receipt of application, enter contact information here:


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