Dan Kelly
Foundation

Scholarships

The Dan Kelly Foundation (DK4) is committed to providing athletic opportunities for children of all ages and diverse backgrounds, guided by the belief that everyone is an athlete. We believe that sports can harness the power in kids by building character,teaching perseverance and teamwork, which ultimately builds healthy relationships and makes better community citizens.

Directions

1. Complete all required fields

2. Upload your organization W9 Form with the application

3. We will accept one application per organization per year.

4. You will get confirmation when the application has been received and you will get
another email indicating the status of our decision within 30 days of submission

Application for Organization

Name of Organization/School/Other

Organization Website

Contact name

Email Address

Telephone #

Mailing Address

How many years has your organization been in existence?

Is your organization tax exempt?

Yes

No

Tax ID #

What is the National Governing Body your organization if affiliated with?

If sport is was not listed enter it here

Cost$

Number of Players

Briefly tell us about your organization and how you/your organization will use this grant to further the mission of the DK4 Foundation?

If grant is approved: Name/Organization check should be made out to

If grant is approved: Address where check will be sent

Do you have a deadline date that a decision is needed?

Please note: to ensure we have enough time to thoroughly consider your opportunity, applications must be submitted 30 days prior to the event or deadline

Program Start Date

Program End Date

I am the coach/organizer of the above organization certify that the information provided in this application is true and accurate. The designated funds will be used only for the program/ initiative specified in the application.

Signature of applicant

Application Date

Would you like to opt in to receive information about the Dan Kelly Foundation

Yes

No

By submitting this application, you consent to The Dan Kelly Foundation (and its advisors and designees) to conduct diligence to verify your qualification to receive a grant. You also acknowledge and agree that such diligence shall not be limited to contact with the individuals listed on this application.

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Dan Kelly Foundation

Scholarships

Directions

Application for Organization

Please note: to ensure we have enough time to thoroughly consider your opportunity, applications must be submitted 30 days prior to the event or deadline

Dan Kelly
Foundation