the margi bartling fund

THE MARGI BARTLING FUND
OUR MISSION: To provide an opportunity to girls to participate in Momentum
Volleyball Club by assisting them to achieve their full potential through the promotion of
leadership, teamwork, friendship, character, goal setting, and self-discipline, regardless
of their ability to pay
The Margi Bartling Fund (the “MB Fund”) was created to give all volleyball players the
opportunity to play volleyball with Momentum Volleyball Club, regardless of their ability to
pay. Momentum Volleyball Club raises money through contributions to the MB Fund and the
sale of sportswear and other items. Money that is allocated or donated to the MB Fund is applied
to player accounts (a) as one or more grants to applicants who have timely submitted an
application, demonstrated a financial need, and been selected to receive a grant by the
Momentum Volleyball Club Board of Directors (the “Board”), and (b) in connection with the
Club’s volunteer work program.
MB Fund Grant
MB Fund grants are (a) awarded by the Board in October of each year, and (b) determined by the
Board in its sole discretion. Grants will only be awarded to those candidates who (a) have
applied on time for a grant and have demonstrated a financial need and (b) agree to participate in
the Club’s volunteer work program for a set number of hours during the Club season
(determined, in part, by the size of the grant awarded to the candidate). Applications will be
available online by September 30, 2015 and should be submitted to the Margi Bartling Fund, c/o
Momentum Volleyball Club, no later than October 16, 2015. Grant applications received after
October 16, 2015 will be excluded from consideration by the Board of Directors.
The Board will review applications and subsequently determine grant awards, if any. Applicants
will be notified of the determination with respect to their application by no later than October 31.
PLEASE NOTE THAT FAILURE TO SUBMIT THE GRANT APPLICATION ON TIME
WILL RESULT IN DISQUALIFICATION OF THE APPLICATION FROM THE REVIEW
PROCESS.
What is required to be considered for a grant?
1. Fill out and timely submit the Grant Application
2. Have player write a letter describing the importance of volleyball in her life
3. Provide additional documents required by the Grant Application
Deliver all materials set forth in Items 1 through 3 above in a sealed envelope to Margi Bartling
Fund, c/o Momentum Volleyball Club, 7347 Revere Parkway, Unit B100, Centennial, CO 80112
All information submitted is considered confidential information and will be treated as
confidential information.
Work Program Rewards (WPR)
Work program rewards are earned by participating in the Momentum Volleyball Club volunteer
work program. For every set number of hours worked in the work program, a player will receive
an amount of money to be applied to her account based on a tiered schedule. This amount is paid
through the MB Fund. Areas to assist the Club include setting up, and tearing down, tournament
preparations for tournaments hosted by the Club during the season, providing support to
tournament directors during tournaments hosted by the Club, operating the Friday Night Spikes
program, and operating the Foundations program.
MB FUND: WAYS TO HELP FUND THE MB FUND
Tax Exempt Donations
Donations made to Momentum Volleyball Club will be placed into the MB Fund and are taxexempt as allowed by law. If you are interested in making a donation or have questions, please
contact Melissa Miller.
** Please note that donations made to a specific player account are not considered tax exempt;
only donations made to the general grant fund qualify for a tax exemption.
Purchase MB Fund Merchandise
One hundred percent (100%) of any net profits or rebates that Momentum Volleyball Club
receives from the sales of Momentum Volleyball Club Merchandise will go to the MB Fund and
be distributed in the form of work program credits and grants to Momentum Volleyball Club
player accounts.
MARGI BARTLING FUND GRANT APPLICATION
Dear Applicant: Thank you for your interest in the Margi Bartling Fund Grant program.
Attached is the Grant Application. There are several forms that must be submitted with the
application in order to be considered for a grant. Please read the following information carefully
in order to ensure the accuracy of your submitted paperwork. Any missing information may
result in a denial of your grant request. We have limited funds to use for grants, so we may be
unable to fund some or all of the financial assistance requests.
The following documents are needed on or before October 16, 2015, in order to process your
request:
1. Completed Grant Application
2. Copy of the first page of your most recent tax return that was filed with the Internal
Revenue Service, complete with signatures
3. Copy of all W-2 Forms (include copies of all W-2 Forms for all persons in the household)
4. Copy of the 2 most recent earnings statements (paystubs) and proof of all other income
that comes into the household. This information must be provided for both parents. If it
is not clearly indicated on your earnings statement or paystub, please print your name,
period of time the statement or paystub covers, and the number of pay periods in a
calendar year.
5. A letter from the player describing the importance of volleyball in her life
NOTE: IN ORDER TO PROTECT PERSONAL INFORMATION, PLEASE REDACT
(BLACK OUT) ANY PERSONAL INFORMATION SUCH AS BIRTHDATES, SOCIAL
SECURITY NUMBERS, ETC. FROM THE COPIES OF THE INFORMATION YOU
PROVIDE.
Again, please review the above checklist and ensure that you submit all required information.
Momentum Volleyball Club is not responsible to review the information in order to advise you
that any information is missing. In the event information is missing, your application may be
denied.
MARGI BARTLING GRANT APPLICATION
PLEASE PRINT
Athlete Name
Athlete Address
Athlete email address
Parent or Guardian Name
Parent / Guardian Address
Parent / Guardian email address
Home Phone Number
Daytime Phone Number
Cell Phone Number
Place of Employment
Parent or Guardian Name
Parent / Guardian Address
Parent / Guardian email address
Home Phone Number
Daytime Phone Number
Cell Phone Number
Place of Employment
Please list the name and age of all persons living in the same household who share living
expenses (include the athlete, parent(s)/guardian(s), spouse/significant other, siblings, etc.)
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Name
Age
Have you received financial assistance in the past from Momentum Volleyball Club (MVC)?
Yes / No?
Do you currently have a balance owed to MVC? Yes / No?
INCOME ASSESSMENT
Please complete the following in full (if an item is not applicable, please print N/A):
Monthly Gross Income – Head of Household:
Monthly Gross Income – Spouse / Significant Other:
Monthly Gross Income – Other Adults in Household:
Monthly Child Support / Alimony (if applicable):
Monthly SSI, SSDI, FIP:
Monthly Value of Subsidized Rent:
Other Monthly Household Income:
TOTAL HOUSEHOLD INCOME:
EXTENUATING CIRCUMSTANCES
If you have other extenuating circumstances that you believe the Momentum Volleyball Club
Board of Directors should consider in reviewing your application, please note here:
IMPORTANT INFORMATION FOR APPLICANTS:
You will be ineligible to receive financial assistance and/or financial assistance will be
terminated for:
1. Failure to timely submit the Grant Application and all required documentation /
information;
2. Carrying a past due account balance;
3. Failure to report any change in financial condition or work status;
4. Present more than one check for insufficient funds;
5. Falsifying information in any Grant Application;
6. Failing to provide government documentation in any government subsidized program.
I have read and understand the application and verify that all information provided is true
and accurate. I also agree that I will participate in each fundraiser opportunity that is
made available through Momentum Volleyball Club, as well as the Momentum Volleyball
Club volunteer work program, if I am awarded a Grant from the Margi Bartling Fund.
Parent /Guardian Signature
Parent / Guardian Signature
Parent/Guardian Name (please print)
Parent/Guardian Name (please print)
Date
Date