"Go Nb Leadership Development Grant Application Form" - New Brunswick, Canada

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Download "Go Nb Leadership Development Grant Application Form" - New Brunswick, Canada

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Leadership Development Grant
SECTION 1. Lead Applicant Information
Organization name:
Name of 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 non-profit organization, please specify:
SECTION 2. Information about the project or activity
Name of project/activity:
Are you seeking multi-year funding (maximum 2)? Yes
No
What training do your coaches/leaders currently have? Please specify
Objectives
Please indicate the number of coaches/leaders that will receive training yearly as a result of this grant
Year 1
Year 2
# of Master Coach Developers (MCD) to receive training
# of Learning Facilitators (LF) to receive training
# of Master Learning Facilitators (MLF) to receive training
# of Coaches to receive NCCP training
Please specify Type of training:
# of Leaders to receive non-NCCP training
Please specify Type of training:
# of Leaders to receive Mentorship/Professional Development
Leadership Development Grant - Page 1 of 4
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Go NB
Leadership Development Grant
SECTION 1. Lead Applicant Information
Organization name:
Name of 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 non-profit organization, please specify:
SECTION 2. Information about the project or activity
Name of project/activity:
Are you seeking multi-year funding (maximum 2)? Yes
No
What training do your coaches/leaders currently have? Please specify
Objectives
Please indicate the number of coaches/leaders that will receive training yearly as a result of this grant
Year 1
Year 2
# of Master Coach Developers (MCD) to receive training
# of Learning Facilitators (LF) to receive training
# of Master Learning Facilitators (MLF) to receive training
# of Coaches to receive NCCP training
Please specify Type of training:
# of Leaders to receive non-NCCP training
Please specify Type of training:
# of Leaders to receive Mentorship/Professional Development
Leadership Development Grant - Page 1 of 4
Please specify date, the region, and the approximate cost for the additional training:
Date
Location (region)
Cost
(mm/dd/yy)
Project Details
How will you recruit participants?
Provide program details and if a multi-year application, what is planned for the following year:
Please explain how will you ensure sustainability/ continuation of participation once your project/activity 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
Leadership Development Grant - Page 2 of 4
SECTION 3. Partnerships
What partners have you identified to support the project? (i.e. people to help out, school, district,
municipality, etc.) Please list your partners and their role for the delivery of your project/activity.
Partner
Contact person
Role
SECTION 4. COVID-19
Has your organization developed a COVID -19 operational plan that addresses public health and safety
measures as per GNB current phase of recovery? Yes
No
Has your organization developed a COVID -19 operational plan that addresses public health and safety
measures as per GNB current phase of recovery? Yes
No
Does your national sport organisation have a Return to Play strategy developed?
Yes
No
If YES, did you use this guidance in the elaboration of your COVID – 19 operational plan? Yes
No
Does your organization have special expenses related to the COVID - 19 situation? Yes
No
How much additional costs?
Brief explanation of those costs?
Leadership Development Grant - Page 3 of 4
SECTION 5. Budget Information
Project Budget (all years – attach separate multi-year budget if necessary)
Notes
a) Have you / or will you secure other funding for this project, please include.
Estimated Revenues
Amount
Estimated Expenses
Amount
Items
Items
TOTAL
TOTAL
$ 0.00
$ 0.00
Total Amount Requested:
$ 0.00
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 by email 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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