ASHA provides Assist Grants for member affiliate organizations. These grants are provided based on funding level each year.

Grants will be decided by review by ASHA Assist Grants Committee.

Grants are provided by priority based on

1) New Program Assistance

2) Regional Camps and Tournaments

3) Program Hardship

4) Others

Please use the ASHA Grant Assist Form to apply: 

 

                      American Special Hockey Association
                                    Assist Grant Program
Name __________________________________________________________

 

Address ________________________________________________________

 

 Phone ____________________________ Member ID ___________________

 

                                    Tax ID # ___________________

 

Organization President (or other officer requesting funds)

 

Name________________________________Phone______________________

 

Address _________________________________________________________

 

City____________________________________ State_______ Zip__________

 

Regional  Director____________________________________________________

 

Is this grant for a Festival or Event?  YES  / NO (Circle)  If Yes, Date of Event: ________________

 

On a separate sheet, please provide a brief explanation of how the grant funds will be used.

Be specific – include list of items to be purchased.

 

Please attach a copy of your organizations 501c3 Letter of Determination.  If you do not have one, please attach a letter of explanation.

Number of athletes served by this grant _______________

Signature ______________________________________ Date______________

Signature ______________________________________ Date _____________

 

By signing this grant application, I agree on behalf on the member organization of American Special Hockey Association, to use these funds (if approved) only for the benefit of participants in American Special Hockey programs, and give permission for the American Special Hockey Association to use details of this grant and its use by our member organizations. The organization president and one other organization official must sign this document.

Return to:
    ASHA Assist Grant Program

c/o Jen O’Brien & Joe Guellnitz

37 Kenilworth Road

Binghamton, NY 13903

jen@specialhockey.org