Preserve-Agility Grant Application

PRESERVE-AGILITY GRANT

Our Preserve-Agility Medical Group Grant allows us to award DJO cold therapy units from Agility Medical Group to eligible programs.

GUIDELINES

Specific guidelines and limitations for each grant are available in the application form. Schools will be notified by email or phone call of application status. If you have any questions about our grants or the application process, please contact us. Any Oklahoma organization with an existing sports program may apply for either grant, pending they meet one of the following conditions:

public school district and/or school site with a poverty rate of 40% or higher
private school serving students in poverty areas
sports club or booster club directly connected to a school district or school site with a 40% poverty rate or higher
a public 501(c)(3) nonprofit organization involved with community sporting events, teams or activities serving a poverty area

Please fill out the form below and press submit.

Preserve-Agility Grant Application

Organization Requesting Cold Units

Program(s) Equipment Would Benefit

Contact Name and Title

Contact Email

Contact Direct Phone Number/Cell Number

Address

County

Organization Website

Is your organization a registered 501(c)(3) non-profit organization?

If a public school, list the most recent SCHOOL SITE free/reduced lunch percentage.

If a public school, list the most recent DISTRICT free/reduced lunch percentage.

Please give a brief description of your organization/school.

What is the number of athletes this equipment will serve?

What is the number of sports this equipment will serve?

Provide evidence supporting your grant request.

Do you currently have this type of equipment in good working order in your district?

Have you received a Preserve Grant within the last two years?

If needed, use this space to provide additional information you feel is pertinent to your grant request.