Safe Sport School Grant Application State * Iowa Kansas Missouri Nebraska North Dakota Oklahoma South Dakota School Name * School Address * Include complete mailing address Athletic Trainer Submitting Grant Application * Please list your NPI #. * If you have more than one AT on staff, please separate NPI #'s by a comma. BOC Number * NATA Number * AT Phone Number * AT Email Address * Has a NATA Safe Sport School application been completed (including signed Declaration and Release Statement)? * Yes No Note: This statement is a verification that the school has completed the NATA Safe Sports School Award application and is prepared to apply for the award. If selected for a MAATA Safe Sports School Grant, I agree to send a picture of my school's AT(s) with the NATA Safe Sports School banner to MAATA SSATC Chair for display on the MAATA website for other PR purposes. * Yes No Upload a screenshot of completed online application of NATA Safe Sports School Award * Drop a file here or click to upload Choose File Maximum upload size: 134.22MB If you are human, leave this field blank.
