JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NCATA Safe Sports Schools Grant
NCATA provides $75 to members who are applying for or renewing Safe Sports School status. The grant is available to qualifing members as long as funds are available on a first come first serve basis.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
My school is applying for the Safe School Grant to
*
renew our NATA Safe Sports School status
seek NATA Safe Sports School status for the first time
County of School Applying
*
Your answer
Name of School
*
Your answer
Full Address of School (Street, City, State, Zip Code)
*
Your answer
Name of Athletic Director
*
Your answer
Name of Athletic Trainer Applying for Grant
*
Your answer
NATA # of Athletic Trainer Applying for Grant (must be a current member in good standing with the NATA)
*
Your answer
Athletic Trainer's phone Number
*
Your answer
Athletic Trainer's email
*
Your answer
Has a NATA Safe Sport School Award application been completed (including signed Declaration and Release Statement)? *Note: This statement is a verification that the school has completed the NATA Safe Sports School Award application and is prepared to apply for the award.
*
Yes
No
If selected for the Safe Sports School Grant, I agree to send a picture of my school's AT(s) with the NATA Safe Sports School banner to the NCATA Treasurer for display on the NCATA website and/or for other PR purposes by the NCATA.
*
Yes
NO
For more information contact:
Jarrett C. Friday, MAEd, LAT, ATC, CSCS
NCATA Treasurer
treasurer@ncata.net
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of North Carolina Athletic Trainer's Association.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
