Provincial Sport Organization Participation Development Application

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Important Dates

Application Deadline is February 8th, 2014
Progress report due annually on March 15th

Contact Information

Kaitlin McCoombs
Support4Sport Coordinator

kmccoombs@sportnovascotia.ca

Technical Issues

Joni Mattatall

Information System Coordinator
Sport Nova Scotia
jmattatall@sportnovascotia.ca

Participation Development Support Application

General Information

Contact Information

Participation Development Plan

Budget

Applicant's Declaration

General Information

First Name

Last Name

Your Sport

Position Held within Your Organization

Contact Information

Email Address

Confirm Email Address

Current Mailing Address

Street address/PO Box

City/Town

Province / Territory

Postal Code
Please enter the postal code without spaces (e.g.: B3J1G6).

Telephone
Please enter phone numbers with their area code (e.g.: 9024255450).

Primary

Alternate

Participation Development Plan

Project Criteria and Evaluation

Plans will be evaluated on the criteria below. Please ensure all of the following areas are completed.

History

Indicate recent participation growth or decline factors during previous cycle (four year plus one), geographical areas of strength and weakness and indicate learning from previous strategies.

Participation Plan
Indicate core strategies to build participation. PSO to consider target groups, target regions, include year-by-year breakdown of goals and objectives, funding sources (project, block, other), events, marketing and promotion. Does the plan focus on any particular LTAD stages and regions?

Human capital development
Outside of athlete participation, identify plans to increase the capacity of your personnel. Potential focus areas (at each focus area please indicate the LTAD implications and why).

Coaching Development Plans (upload and attach located on the budget tab)
Officiating
Volunteers
Administrative
Parents and community

Community Linkages
List potential and existing community partners and opportunities for collaboration. Outline strategies to build these relationships (clubs, organizations, NSO, CSOs, rental facilities and corporate partners as well as other PSOs).

Number of Athletes in Your Organization
Athlete: A person who pays an annual membership fee to the PSO and participates on an ongoing basis in a program/event delivered, sanctioned or overseen by the PSO.

Challenges
Other than funding, list the potential barriers, challenges that will impact your organizations ability to implement this plan (this information will be used by SNS to create strategies and opportunities to assist and support your organization).

Measurement and Evaluation
How are you measuring/ evaluating your participation development plans? Key markers to include: athletes, coaches/ officials and volunteers.

Other information
Who developed this participation plan (executive director, board appointed committee etc.)?

Budget

Finance Plan
Give an estimate of funding directed specifically to participation development (if possible, avoid attaching operational plans). Estimates should indicate funding other than Support4Sport participation developement grant where necessary (as it relates to participation plan).
Using the table below, applicants must demonstrate a BALANCE between the revenues needed and the expenses associated with the participation plan. Add supporting documentation (upload and attach feature at the bottom of the budget tab) where necessary to verify costs and potential sources of revenue. If this field is not applicable, please put N/A in the space below.

Budget Template

Please complete all applicable fields below. If there is any extra information you feel is relevant to your budget, please include in the Finance Plan above.

Expenses

Staffing Costs
(including salaries, benefits, etc)

Training / Coaching

Administration Costs
(including such things as phone costs, copies, etc)

Facility Rentals

Travel/Transportation
(including such things as airfare, mileage, rental cars, taxis etc.)

Accommodations
(including number of rooms x number of nights x number of occupants x room rate)

Food
(estimate the costs of meals e.g., # of meals per day x days or a maximum $45 perdium)

Event Fees
(including registrations, conference fees, entry fees, tuition etc…)

Other Fees
(Other certification fees, sanctioning fees, association fees, etc...)

Incidentals

Equipment

Other (1)
Please provide a short description.

Other (2)
Please provide a short description.

Other (3)
Please provide a short description.

Total

Revenue

Available From NSO
(National Sport Organization)

Available From PSO
(Provincial Sport Organization)

Available From DHW
(Department of Health and Wellness)

Available From other grants

Available From Fundraising

Available From Sponsorships

Available From Fees & Charges
(e.g. user fees, registration fees, etc)

Other (1)
Please provide a short description.

Other (2)
Please provide a short description.

Total

Amount Received last allocation cycle

If you have any supplementary documentation you would like the committee to review upload below by clicking "Choose File" and then click "Upload File". You may only upload a single file.

Applicant's Declaration

Privacy Policy

I hereby consent to the collection and use of my personal information as stated in the Sport Nova Scotia Privacy Policy. I understand that the Sport Nova Scotia Privacy Policy is accessible at www.sportnovascotia.ca or in electronic or hard copy format by contacting sportns@sportnovascotia.ca or 425-5450. I also understand individuals or organizations receiving funding can have their names and/or organization names published for the purpose of reporting and/or for use in the media.

Applicant Declaration
I hereby declare that the information presented in this application, to the best of my knowledge, is true and complete.

Additional Comments
If you have any additional information you would like to share with the committee, please insert it in the open field below.

Date

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