Jump Rope For Heart Grant Application Form

1. Fill out the information below

2. Print this page (click here or hit your print button)

3. Proceed to the Application Cover Page if you have not done so already

This is page 2 of a 2 part form which must be completed to be considered for a Jump Rope For Heart grant. Please provide the information requested by the form below. All fields must be completed to receive consideration. Please make sure to fill out the application page as well. Click the following link to proceed to the application page. Application Page

The applicant hereby assures IAHPERD that:

1. The applicant has the necessary legal authority to apply
   for and receive the proposed grant.
   
2. The project will be administered in conformity with the
   provisions of title VI of the Civil Rights Act of 1964 and
   provisions of Title IX of the Education Amendments of
   1972, and any regulations thereunder.
   
3. No funds received under this grant shall be used to
   supplant funds normally budgeted to provide comparable
   services or programs.
   
4. The project is in compliance with the National Research
   Act of 1974 (P.L. 93-348) and appropriate informed consent
   relative to health and privacy of human subject will be
   obtained.
   
5. Should the project proposal not be completed, such funds
   as awarded will be returned to the association.
   

We do hereby certify that all of the facts, figures, and projections made in this
application are true and correct to the best of our knowledge and belief.

Application Information

Applicant Name:

University, school or agency which assumes professional responsibility:

University, school or agency which assumes financial responsibility:

Print this page (click here or hit your print button)

Proceed to the Application Cover Page if you have not done so already