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

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

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Go NB
Physical Literacy
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
Is this a program for:
The implementation of any physical literacy aligned program
Improvement to an existing program
A particular targeted group, (Target groups include: aboriginal youth, persons with a disability, women
and girls and economically disadvantaged youth) please specify:
Project Details
Start date:
End date:
How many times per week?
Duration:
Location(s) of project:
Physical Literacy Development Grant - Page 1 of 5
Reset
Go NB
Physical Literacy
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
Is this a program for:
The implementation of any physical literacy aligned program
Improvement to an existing program
A particular targeted group, (Target groups include: aboriginal youth, persons with a disability, women
and girls and economically disadvantaged youth) please specify:
Project Details
Start date:
End date:
How many times per week?
Duration:
Location(s) of project:
Physical Literacy Development Grant - Page 1 of 5
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/leaders?
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
Physical Literacy Development Grant - Page 2 of 5
Please indicate the approximate number of participants, leaders/coaches, officials, and administrators
involved in your project.
Male
Female
Total
Participants / athletes
0
Leaders / coaches
0
Volunteers
0
TOTAL
0
0
0
Project Priority (Please select only ONE area of focus)
Active Start Stage (0-6) From 0-6 years, boys and girls need to be engaged in daily active play.
Through play and movement, they develop the fundamental movement skills and learn how to link
them together.
FUNdamentals Stage. Participants develop fundamental movement skills in structured and
unstructured environments for play. The focus is on providing fun, inclusive, multisport, and
developmentally appropriate sport and physical activity.
Learn to Train Stage. Leading to understanding basic rules, tactics, and strategy in games and
refinement of sport specific skills. There are opportunities to participate in multiple sports with
competitions focused on skill development and retention. Games and activities are inclusive, fun, and
skill based.
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 list.
Do the coaches, officials, and leaders of your organization require additional training?
Yes (complete next question)
No (skip to section 4)
Please contact
http://www.coachnb.com/
or your national sport organization for information on coaching
courses.
Physical Literacy Development Grant - Page 3 of 5
Please specify the additional training to take place:
Date
Location
Cost
Number of
Type of training
(mm/dd/yy)
Participants
$
$
$
SECTION 4. 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 5. 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?
Physical Literacy Development Grant - Page 4 of 5
SECTION 6. 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 7. 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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