Grant Application Personal DetailsFull Name* Phone Number*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Application TypeIs this application for a* Individual Athlete Grant (IAG) Event Grant (EVG) Program Grant (PG) Support Persons Grant (SPG) Equipment Grant (EG) Funding and Performance HistoryHave you or your association received funding from the Blind Sporting Council INC previously?*Please Provide Details if Yes Yes No Previous Funding*Are you a member of a sports institute or academy?* Yes No Please list your top 3 results in your sport (If applying for EG, or IAG)*EventLocationDisciplineResult Please use the + button to add new results.Event DetailsPlease complete if applying for IAG, PG or EVG. If applying or a SPG please fill out the below for the athlete you will be supportingLocation* Date Start* DD slash MM slash YYYY Date End* DD slash MM slash YYYY Level* State National International Events you will be competing in/holding* Please use the + button to add additional events.Expected number of competitors/participants*What will your role be during this event (SPG ONLY)* If you have competed in/held this event/program in the past please give details:Please give a description of the event/programEquipment Grant DetailsPlease complete this section if you are applying for an Equipment GrantWhat is the purpose of the equipment?*Please provide details of the person/people who will be using the equipment*What equipment are you currently using? Please provide details as to why new equipment is required**Please provide a quote for any equipment request *Any equipment funded by BSC remains the property of the organisation and can not be sold by you, or the entity you represent. The equipment remains the property of BSC on an indefinite loan to you or your group until the equipment is no longer required. BudgetWhat are your anticipated expenses. Please fill out the relevant costs for your grant application.FlightsAccommodationUniformEvent FeesTransportCoaches/TeachersSupport StaffVenue HireEquipmentOther (Please List)Please detail your estimated "Other" expenses.Total $*Acknowledgement and MediaPlease list any acknowledgements and media opportunities, pictures, videos and other sources of acknowledgement of support Blind Sporting Council may receive from their grantSupporting DocumentsPlease provide any additional information/budgets/quotes to assist your application.FileMax. file size: 128 MB.