Nastia Liukin Fund

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Following her gymnastics success, 2008 Olympic all-around
champion Nastia Liukin, in conjunction with USA
Gymnastics, established the Nastia Liukin Fund,
a charitable fund within the National Gymnastics
Foundation, in 2009.
The fund’s goals include building partnerships
with fitness-oriented programs for young people,
and supporting clubs who have programs that aid
athletes who need financial assistance to remain or
become involved in gymnastics.
“Gymnastics has given me the opportunity to
achieve my dreams and goals,” said Liukin, who
won nine World and five Olympic medals in her
career. “Gymnastics has given me so much, and
now I want to give back to the community that has
supported me for my entire career and to help
others. The Nastia Liukin Fund provides me with a
way to do that.”
Plans are for the fund to disburse grants annually,
and a five-person committee, which includes Liukin,
will determine the recipients and financial allocation,
as appropriate. The deadline for requests is July 6. Interested
organizations and clubs may learn more about the application
process and requirements at usagym.org/nastialiukinfund.
The Nastia Liukin Fund is supported through donations and
the proceeds from Nastia Liukin Cup and Series, which were
introduced in 2010. To make a donation to the Nastia Liukin
Fund, please visit usagym.org/foundation.
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Athlete Assistance Grant Application Form
Name of Gymnastics Club: ________________________________________________________________________________________
USA Gymnastics Member Club #: ___________________________________________________________________________________
Name of organization (if different than club name) to which grant would be awarded.
Please list the correct legal name:__________________________________________________________________________________
Club Address: ___________________________________________________________________________________________________
______________________________________________________________________________________________________________
Club Telephone: ____________________________________ Primary Owner : _____________________________________________
Contact Person and Title: _________________________________________________________________________________________
Contact E-mail: _________________________________________________________________________________________________
Anticipated number of athletes impacted by funds: _____________________________________________________________________
Annual Club budget: $ _____________________ Total Budget: $_________________________________________________________
Summary: Please provide a one-page report describing why your club is requesting this grant, how many athletes will receive
assistance, what outcome you hope to achieve, how you intend to measure the outcome, and how the funds will be dispersed if the
grant is approved. You may include any other information you think is necessary to support your grant application such demonstration
of the financial hardship(s); how this will benefit the athletes; a summary of the scope of your club’s gymnastics curriculum and which
programs the athletes supported by the grant will participate; community tie-ins, etc.
Note: If the grant is approved, a written report detailing the success of the program by outlining the specifics of implementing the program
and how the grant funds were dispersed will be due by December 1 of the following year. Up to $1,000 may be allotted per athlete.
Signed: ___________________________________________________________ Date: ______________________________________
Completed applications are due by July 6, 2015
email: [email protected]
mail: USA Gymnastics • Attn: Nastia Liukin Fund Grant
132 E. Washington St. Ste 700 • Indianapolis, IN 46204