School Fitness Facility Application

All required fields are marked with an asterisk (*).

Primary Contact Information

Who should we contact for follow-up questions regarding your application?

First Name *

Last Name *

Middle Initial

Cell Phone *

Who should we contact if your primary contact is not available?

First Name

Last Name

Middle Initial

Cell Phone

Please provide details about your school and location.

Name of School *

School District *

City *

State *

Zip Code *

County *

School Website

Social Media URLs

Who has the legal authority to sign contracts on behalf of your organization? *

Which categories describe your school? *

Public

Private

Charter

Title 1

What percentage of students served qualify for Federal Free or Reduced Price Lunch (FRPL)?

What is the median household income of the families you serve?

Is there anything else we should know about the ethnicity or socio-economic status of the population you serve?

How many people will use the proposed space per day?

How many people will use the proposed space per week?

How many people will use the proposed space per year?

Describe the students you serve and why it is important for your community to have a new weight room/fitness space? *

Do you have an existing weight room/fitness space or equipment on your property? *

Yes

What is the estimated size of the existing space?

Describe in detail the condition of the existing room and equipment

Please upload pictures of your existing space here

Multiple Same files are attached