"Go Nb Provincial Physical Literacy Grant Application Form" - New Brunswick, Canada

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Download "Go Nb Provincial Physical Literacy Grant Application Form" - New Brunswick, Canada

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2019-2020
GO NB Provincial Physical Literacy Grant Application Form
SECTION 1. Lead Applicant Information
Organization name:
Contact person for this request:
Name of president or chair of organization:
Mailing Address:
Telephone number:
Contact Email:
About your organization
Type of organization?
Provincial Sport Organization
Multisport Organization
Other Provincial non-profit organization, please specify:
SECTION 2. Project Information
Details
Name of project:
Are you seeking multi-year funding? Yes
No
If yes, how many years (maximum 3)
Is this a
New Program:
Expansion of an Existing Program
Improvement an existing program
Detailed Project Information (Year One)
Start date:
End date:
How many times per week?
Length of sessions:
Location(s) of project:
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Reset
2019-2020
GO NB Provincial Physical Literacy Grant Application Form
SECTION 1. Lead Applicant Information
Organization name:
Contact person for this request:
Name of president or chair of organization:
Mailing Address:
Telephone number:
Contact Email:
About your organization
Type of organization?
Provincial Sport Organization
Multisport Organization
Other Provincial non-profit organization, please specify:
SECTION 2. Project Information
Details
Name of project:
Are you seeking multi-year funding? Yes
No
If yes, how many years (maximum 3)
Is this a
New Program:
Expansion of an Existing Program
Improvement an existing program
Detailed Project Information (Year One)
Start date:
End date:
How many times per week?
Length of sessions:
Location(s) of project:
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Please indicate what LTAD program you will be using. For reference:
http://canadiansportforlife.ca/resources
/ltad-sport-models)?
How will you recruit participants?
How will you recruit coaches/instructors?
Provide additional program details, describe how success will be measured and if a multi-year application,
what is planned for years two and three.
Please explain how you will support sustainability/ continuation of participation once your project is completed
(e.g. referral to other internal or external programs)?
How will you promote this project and publicly acknowledge Sport Canada, the Government of New Brunswick
and others as source of funding for this project? Please explain
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Please indicate the approximate number of participants, instructors, officials, and administrators involved in
your project.
Male
Female
Total
Para participants / athletes
0
Participants / athletes
0
Instructors / coaches
0
Officials
0
Volunteers
0
TOTAL
0
0
0
Project Priority (Please select only ONE area of focus)
Active Start Stage (0-6) At this age, physical activity should always be fun and part of daily life. Active
play, in a safe and challenging environment, is the best way to keep children physically active.
FUNdamentals Stage (6-9 boys, 6-8 girls) Skill development at this age is best achieved through a
combination of structured and unstructured play in a safe and challenging environment.
Learn to Train Stage (9-12 boys, 8-11 girls) This is a period of accelerated learning, the development
of coordination, and honing of fine motor skills. It is time to develop all fundamental movement skills
and learn overall sports skills.
Target populations. Projects that provide opportunities to a specific targeted group and/or
marginalized population to actively participate in sport: including in roles as athletes, coaches, officials
and volunteer leaders. Target groups include: aboriginal youth, persons with a disability, women and
girls and economically disadvantaged youth.
SECTION 3. Training
What training/certification do your coaches/leaders currently have? (i.e. Fundamental Movement Skills,
Aboriginal Coaching Module, NCCP training, Physical Education Teacher, or other). Please explain:
Do the coaches, officials, and leaders of your organization require additional training?
Yes (complete next question)
No (skip to section 4)
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Please specify the additional training to take place:
Date
Location
Cost
Number of
Type of training
(mm/dd/yy)
Participants
$
$
$
For reference:
http://www.coachnb.com/
SECTION 4. Partnerships
What partners have you identified to support the project? (i.e. people to help out, school, district, municipality,
Provincial Sport Organization, etc.) Please list your partners and their role and/or qualifications in the
delivery of your project / activity.
Partner
Contact person
Role
SECTION 5. Budget Information
Project Budget (all years – attach separate multi-year budget if necessary)
Notes
a) If you have other funding partners or revenue in kind, please include.
Estimated Revenues
Amount
Estimated Expenses
Amount
Items
Items
TOTAL
TOTAL
$ 0.00
$ 0.00
Total Amount Requested:
$ 0.00
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SECTION 6. Completion of Application
Accountability Declaration of Partners
I, the undersigned, am authorized by my organization to forward this application. The information presented in
this application is, to the best of our knowledge, true and correct.
Furthermore, in the event that our application is successful, we agree to:
1. Receive and account for all project funds, through the Lead Organization.
2. Participate in evaluation / monitoring activities related to the project.
3. Provide proof of insurance coverage for the project and its participants.
4. Ensure project is implemented and that all obligations for reporting are met.
5. Ensure that a final activity report is submitted 30 days after the project is completed.
Signature of Applicant
Date:
Please submit completed applications to the Sport and Recreation Branch at sr/sl@gnb.ca; fax to
506-453-6548 or mail to: Marysville Place, P. O. Box 6000, Fredericton, NB, E3B 5H1
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