The Hartford Athlete Equipment Grant & Human Achievement Award Application

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Move United /

The Hartford Athlete Equipment Grant & Human Achievement Award Application

Move United - The Hartford Athlete Adaptive Equipment Grant & Human Achievement Award Application

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The "Save & Continue Later" function can be found at the bottom of this report form. If selected, a pop-up notice will provide a unique URL which will allow you to access the form at a later time. The URL will also be sent via email to the primary email address listed. Move United cannot access partially completed forms or the URLs associated with the forms. To avoid information being lost due to connectivity or browser issues, a recommendation is to copy and paste this application to a word document, fill out the responses in the word document and then cut and paste answers to this application form for submission.
Grantee Information
Who is completing this grant application?(Required)
- Athlete; I am completing the application for myself and I am a adult
- Athlete; I am completing the application for myself and I am a minor
- Athlete's Parent/Guardian
- Athlete's Coach/Instructor
Name of person completing the grant application(Required)
First Last
Email of person completing the grant application(Required)
Phone of person completing the grant application(Required)
Who referred you this grant opportunity?(Required)
This grant is currently by invitation only from a Member Organization, Competition Series event, Ski Spectacular, or The Hartford
- An Upcoming Move United Event / Competition Series Event
- A Move United Member Organization / Chapter
- Other
Please specify who referred you and the organization they are with(Required)
Please list the Move United Events / Competition Series Events you are planning to attend in 2027
Choose all you plan to attend this year. Applicants must be registered to attend the event in order to be considered
- Texas Parasport Games in Partnership with The Hartford
- DASA Gateway Games in Partnership with The Hartford
- Desert Challenge Games in Partnership with The Hartford
- GLASA Great Lakes Games in Partnership with The Hartford
- The Hartford Nationals conducted by Move United
- The Hartford Ski Spectacular conducted by Move United
I understand that athlete(s) selected to receive the grant will NOT be notified ahead of time, but will be surprised at an event hosted as part of a Member Organization, Competition Series, Ski Spectacular, or The Hartford activation.(Required)
- Yes, I understand and I will be present at the presentation/gifting moment
Athlete Name(Required)
First Last
Athlete Address(Required)
Address City State Zip Code
Phone(Required)
Email(Required)
Date of Birth(Required)
I identify my gender as (select all that apply)(Required)
- Woman
- Man
- Non-Binary
- Transgender
- Cisgender
- Prefer not to share
- Prefer to self-describe
My pronouns are(Required)
- She/Her/Hers
- He/Him/His
- They/Them/Theirs
- Prefer to self-describe
Prefer to self-describe:
I identify my race/ethnicity as (select all that apply)(Required)
- Native American/American Indian/Indigenous/Alaska Native
- Asian or Asian American
- Black or African American
- Hispanic, Latino/a/e/x or Spanish origin
- Middle Eastern or North African
- Native Hawaiian or Other Pacific Islander
- White or of European Descent
- Multiracial
- Prefer not to share
- Prefer to self-describe
Prefer to self-describe:
Disability Information (select all that apply)(Required)
- Acquired Brain Injury (Traumatic & Non-Traumatic) 
- Blind or Low Vision 
- Deaf or Hard-of-Hearing
- Dwarfism or Short Stature
- Cognitive/Intellectual or Specific Learning Disability (Including Severe ADD/ADHD, Nonverbal Learning Disability Autism (ASD), Down Syndrome)
- Mobility Impairment and/or Limb Loss/Deficiency (Spinal Cord Injury, Spina Bifida, Transverse Myelitis, Amputation, Burns, Joint Injury)
- Neuromuscular (Cerebral Palsy, Hemiplegia, Multiple Sclerosis, Muscular Dystrophy, Nerve Damage, Polio, Stroke)
- Post-Traumatic Stress as a sole diagnosis
- Not Listed
- I do not identify as having a disability
- Prefer not to say
- Prefer to Self-Describe
Option to provide Disability Specific Information
Parent/Guardian Name (for minors)
Required for athletes under the age of 18
Parent/Guardian Phone (for minors)
Required for athletes under the age of 18
Parent/Guardian Email
Required for athletes under the age of 18. Parent/Guardian for minors will be sent a copy of the application to this email.
Are you a Veteran with a disability?(Required)
- Yes
- No
Grant Specific Questions
Athlete Equipment Grant - This grant provides up to $5,000 to purchase new adaptive sports equipment. Human Achievement Award - This $2,500 award can support an athletes' travel, training, equipment, or other related adaptive sport endeavors.
What sport are you applying under?(Required)
What sports' equipment are you applying for or what sport you are being acknowledged for achievement in. You must be recreationally or competitively active in this sport. The grant currently does NOT include equipment for the following sports: Adaptive Shooting and Biathlon
Number years participating and/or competing in selected sport(Required)
Are you currently rostered on the National Team for this sport?(Required)
i.e. Currently rostered on Team USA for Para Track & Field or other National Governing Body (NGB)
- Yes
- No
Do you currently train/participate in a program or with a school team?(Required)
- Yes
- No
What program or school do you train/participate with?(Required)
What grant are you applying for?(Required)
Please note: an athlete can only receive the Equipment Grant or Human Achievement Award ONCE then is ineligible to receive either again in the future.
- Athlete Adaptive Equipment Grant
- Human Achievement Award
- I want to be considered for both the Athlete Adaptive Equipment Grant & Human Achievement Award
Human Achievement Information
Please give examples of how the athlete shows commitment and persistence in their sport?(Required)
Please give examples of how the athlete encourages others around them?(Required)
Equipment Information
To assist with equipment orders and sizes, please provide the information, as appropriate for equipment you are requesting:
List the adaptive equipment you are requesting(Required)
Provide as much detail as possible, including: current quote from vendor/manufacturer including the model information, sizing specs, coloring, website link, and any additional pertinent information.
Equipment Cost(Required)
Grant request cannot exceed $5,000, including shipping. Excess or additional equipment cost for upgrades, enhancements, or modifications will be the grantee's responsibility.
Grants provided cannot exceed $5,000. If the equipment cost exceeds $5,000, it will be the responsibility of the athlete, family, or Organization to cover any remaining amount(Required)
- The athlete or family will be able to cover any remaining amount
- The organization will be able to cover any remaining amount
- The athlete or family and am unable to cover any remaining amount
- I am unsure if the athlete, family, or Organization will be able to cover any remaining amount
- The equipment requested is within the $5,000 budget
Do you currently own a similar piece of equipment that you are applying for?(Required)
- Yes
- No
If yes, how or why would this new piece of equipment help you achieve your goals?(Required)
Height(Required)
Head Circumference or Helmet Size (for helmets/hats)(Required)
Weight(Required)
Shoe Size
If your sport requires a shoe size, please list your size below (ex. skiing, snowboarding, etc)
T-Shirt Size(Required)
Unisex sizing
Primary Instructor/Coach Name(Required)
We confirm the equipment requested is the best suited for you, and confirm specs/measurements with a coach before the order is placed
Primary Instructor/Coach Email(Required)
Primary Instructor/Coach Phone Number(Required)
Athletic Goals: Short and long term goals(Required)
Please be thorough and provide us with both your short-term AND long-term athletic goals
List the adaptive sports events/competitions you've attended in the last year AND which you plan on participating in the next year(Required)
Provide event name and year
Additional Information
Additional Information(Required)
Provide any additional information you would like to share (i.e. education, community involvement, other sports you participate in, awards/recognition, links to media, etc.)
Sharing your story can help encourage other potential athletes and demonstrate the importance of adaptive sports. Are you willing to share your story online or with media?(Required)
- Yes
- No
I would like to share my social media usernames:
Ex.) Instagram= @joesmith123
Attach additional material you would like to share.
Sport action photos or video clips
Drop files here or

Accepted file types: jpg, gif, png, pdf, mp4, Max. file size: 9 MB, Max. files: 4.
Submit
You should receive a confirmation notification to the email address submitted in your application. If you do NOT receive a confirmation, please contact Micaela Venus at mvenus@moveunitedsport.org to confirm your submission was received for review.

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451 Hungerford Dr., Suite 608
Rockville, Maryland 20850

Call us: 301-217-0960

info@moveunitedsport.org

451 Hungerford Dr., Suite 608
Rockville, Maryland 20850

Call us: 301-217-0960

Move United is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code. Donations are tax-deductible as allowed by law. Tax ID: 94-6174016

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The Hartford Athlete Equipment Grant & Human Achievement Award Application

Move United - The Hartford Athlete Adaptive Equipment Grant & Human Achievement Award Application

Save & Continue Later

Grantee Information

Grant Specific Questions

Human Achievement Information

Equipment Information

Additional Information

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