Coach Development Grant Application

Name*

First Last

Address

Street Address Address Line 2 City Province Postal Code

Email*

CAS Subscriber Since*

Respect in Sport completion date*

Respect in Sport Certificate Number*

NCCP CC#

Sport(s)

1. NCCP training or certification achieved

(Example: Level 1 certified Baseball, Competition – Introduction trained)

2. List your current coaching involvement

3. Provide details of the activity(s) or event(s) for which the grant is requested

(Include date and location of each)

4. Provide the learning objectives and outcomes that you will realize from participating in this event or professional development opportunity

5. What other organizations will assist financially with this event (please include the amount of support received)?

Local Club

Community Sport Association

Provincial Sport Organization

School

Other

6. Please indicate how the knowledge gained from this event will be shared with other coaches in the Province

7. Budget for Project

(Include funding from all sources)

Project Budget Revenue

Project Budget Expenses

NOTE: In the follow up report, copies of expenditure receipts must be provided to verify all costs.