Provincial Sport Organization Projects Application

Important Information: Please Read

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Important Dates

Application Deadlines are the 15th of each month.
Progress report is due 1 year after the funding was allocated

Contact Information

Kaitlin McCoombs
Support4Sport Coordinator

kmccoombs @sportnovascotia.ca

Technical Issues

Joni Mattatall

Information System Coordinator
Sport Nova Scotia
jmattatall@sportnovascotia.ca

Note to PSOs

PSOs are highly recommended to log out of the PSO Portal prior to filling out this application. Continuing to fill out the application while logged in can cause numerous issues.

Provincial Sport Organization Projects Application

PSO Projects Application

General Information

Contact Information

PSO Project 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

PSO Project Plan

Project Criteria and Evaluation

Plans will be evaluated on the following criteria. Please ensure all sections are completed.

Please select the category for which you are requesting funds.

Organizational Initiative (to increase participation)

Coach Development

Officials Development

Name of Project

Project Description
Explain the project in detail

Make sure to explain the "who, what, where, why and how"

Long Term Athlete Development (LTAD) Pathway
Describe how the project fits within your participation development plan &/or first three development stages of LTAD

Technical Support
Describe the qualifications of those who are creating and delivering the program.

Program Delivery
List and describe at minimum 2-3 outcomes that will be achieved in the 1 year implementation of the project.
(ie. how many sessions will be delivered, what capacity will be built, how many participants reached etc)

Sustainability
Describe how the program will continue to pay for itself going forward (without continuous Support4Sport funding).

Project Length
State the anticipated project start date and completion date.

Budget

Describe Finance Plan
Describe how you are planning to finance your project. Using the table below, applicants must demonstrate a BALANCE between the revenues needed and the expenses associated with the project. Indicate the amount of money you are requesting and how it will offset the costs associated with this project. Add supporting documentation where necessary to verify costs and potential sources of revenue. An "upload and attach" feature can be found at the bottom of the tab.
This field can be used to explain any budget lines that require clarification (ie. describing items of equipment purchased)
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 or in the upload and attach feature at the bottom of the tab.

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 per diem)

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

Other Fees
Please provide a short description.

Incidentals

Equipment

Other (1)
Please provide a short description.

Other (2)
Please provide a short description.

Other (3)
(Other certification fees, sanctioning fees, association fees, etc...)

Total

Revenue

*Please be sure to include ALL revenue sources (NSO, PSO, fundraising etc). Support4Sport will not fully fund any project without revenue sources

Available From NSO
(National Sport Organization)

Available From PSO
(Provincial Sport Organization)

Available From CSO
(Community Sport Organization)

Available From DHW
(Department of Health and Wellness)

Available From Self

Available From Fundraising

Available From Sponsorships

Other (1)
Please provide a short description.

Other (2)
Please provide a short description.

Total

Amount Requested

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

Applicant's Declaration

Privacy Policy

I 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.

If your organization is submitting more than one application during an application period, please use this comment box to rank your application (#1, #2...). Please note all ranked applications will be reviewed by the Support4Sport Committee.

Date

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