Safe Sport School Grant Application If you are human, leave this field blank. 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. Is this a first time application or a renewal? * First time application Renewal First time applications will be eligible for a $75 grant and renewals will be eligible for a $50 grant. 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 copy of your completed NATA Safe Sport School Award Application * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 134.22MB Note-Application will still need to be sent to the NATA. If application was submitted online to NATA, please upload your confirmation email or a screenshot of the completion page.