VERIFICATION: SPORT TOURISM AND CULTURAL EVENTS 1. Contact Detail Name of Organisation/School/ Club: Physical Address Postal Address Name of Contact Person Name Contact Number Tel no: Fax No: Email: number CO-OP/NGO/FEDERATIONS Registration Total number of members in the group/organisation Has you or your organisation submitted an Yes application for Sport Tourism and Cultural Events grants before? Was your application successful? Yes No No 2. Purpose of Funding Grant 2.1 State what this grant is for? How do you intend on using the funds? ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… Questions When was the organisation/business established? If an organisation/co-op have a governing body / structure/ Yes No Comments executive? If an organisation/co-op do you have monitoring and evaluation reporting measures? If an organisation/co-op have an active bank account? Is your declaration of interest form attached to this application? YES NO The undersigned persons acknowledge that the information provided is correct Please write the names in print. Name: ………………………………………………………………………………………….. Signature:……………………………………………………………………………………… Date:………………………………………………………………………………………………… CWDM OFFICIAL USE Name of official Recommendation Yes Comment No ……………………………………………………………………………………….. ……………………………………………………………………………………….. ………………………………………………………………………………………… ………………………………………………………………………………………… ……………………………………………………………………………………….. …………………………………………………………………………………………. Sport Tourism and Cultural Events need to submit a proposal. Criteria for Project Selection • Sport Tourism and Cultural festivals must be: • Sport Tourism and Cultural festivals related; • Hosted within the Cape Winelands District; • Geographically representative of the 5 Local Municipalities in the Cape Winelands District only; • Contributing to development and upliftment; • Contributing to job creation within the District; • Aimed at the empowerment of vulnerable groups; • Aimed at ensuring long-term sustainability; and • Aimed at ensuring maximum media/publicity/marketing impact for the region. Content of Proposals • Date, venue and location (B municipality, ward, etc.) of event; • Name and contact details of events, i.e. full address, contact numbers, e-mail address and website, if available; • Description of event, i.e. background, concept, activities, duration, aim and objectives; • Detailed budget for the event; • Outputs and outcomes; • Number of jobs created (temporary and permanent); • How the surrounding communities will benefit; • Management structure of the event; and • Co-branding agreements. Any other sponsors and sources of income towards the event must be declared upfront to avoid duplication of funding by Municipalities. Accompanying Documentation • Bank details; • Signatories to bank account (including meeting resolutions, if available); • Auditing details; • Latest financial statements and audit reports (if available); • Tax Clearance and/or Tax Exemption Certificates; • Declaration of interest from the Cape Winelands District Municipality; • Proof of registration, i.e. NPO, CBO, NGO, Cooperatives, Business registrations, etc.; and • Membership to National, Provincial and Regional bodies.