Municipal and Community Affairs
Regional Youth Sport Events Contribution Program
2012 – 2013
APPLICATION FORM
Introduction
The Department of Municipal and Community Affairs (MACA) recognizes the importance of
regional youth sport events. The intent of the Regional Youth Sport Event Contribution
Program is to strengthen local programming, support athletes and coaches in smaller
communities, and improve youth participation in physical, leading to positive lifestyles.
MACA encourages sport and recreation organizations, community governments and school
authorities to organize and host regional youth sport events.
The maximum amount of funding available to any one event is $50,000 per fiscal year.
Applications must target a minimum of ten (10) youth and a minimum of two (2)
communities in addition to the host community. They will be weighted to favour events that
target an underrepresented segment of the population. Further details on eligibility can be
found in the Regional Youth Sport Events Contribution Policy. Applicants are encouraged to
work with representatives of the Department of Municipal and Community Affairs during
the application phase to ensure their applications comply with all funding requirements.
Contact information can be found at the end of this application form.
Your application for a financial contribution will be reviewed and assessed on the basis of
the following information. The deadline for this year’s application is April 30th, 2012.
Terms and Conditions
MACA will send a notice of approval or rejection to the contact provided.
The financial contribution will be issued as a contribution transfer agreement. By signing
this application form you acknowledge that you were made aware of the following terms
and conditions that will be part of the written agreement. The event or project will comply
with the provisions set out in the Regional Youth Sport Event Contribution Policy.

The applicant has comprehensive liability insurance no lower than $2,000,000 in
place.
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Municipal and Community Affairs

MACA’s contribution will be acknowledged during the promotion and hosting of the
event.

MACA encourages applicants to take event photos and submit photos with the
report. In order to do so permission must be obtained for the GNWT to use these
images to promote physical activity and healthy life styles. MACA can provide
consent forms to the applicant.

The summary report template required will include evaluation criteria that the
applicant is required to fill out. This reporting template will be included in the
contribution agreement.

Applications will be weighted to favour events that target underrepresented
segments of the population.

Funding allocation will be prioritized in favour of those projects which assist rural
and remote communities to improve their own sport and recreation services.
The funding must be accounted for by sending the following documents to MACA no later
than 60 days after the event takes place:
1. a summary report detailing how the funding was utilized using the template
provided by MACA; and
2. a financial report showing all revenues and expenses related to the event. Copies of
original receipts must be retained on file should the Department chose to audit the
project at a later date.
Applicant Information
Legal name of the sport & recreation organization, community government or
school authority:
Legal address:
Telephone:
Fax:
Email:
Contact person (please provide the name and function/title):
Contact information for that person if different from organization’s contact.
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Municipal and Community Affairs
Telephone:
Fax:
Email:
Application Details
The following questions are intended to help you provide the details that will be considered.
Not all questions may be applicable to your event or project.
Name and description of the event: (Please provide the name of competition, clinic, camp,
sport meet, training, and/or workshop, and give a summary, description, etc.)
Who will participate? (Please indicate the number of participants, the age range, the
communities represented, and the sport and recreation organizations and/or school authorities
involved.)
What are the objectives of this regional youth sport event?
Where will the event take place? (Please provide the community name and location. Depending
on the event you are planning, you could include whether you have a letter of support from the
community or band council, a safety plan in place, etc.)
When will the event take place?
Who will host the event? (Is your organization the host? Have you hired a facilitator or
trainer(s)? Is the event hosted by another organization, community government, institution or
business? If yes, please provide name and details.)
Do you have any partnerships or sponsors? (Is this a partnership event, hosted together with
another sport and recreation organization, community government or school authority? Have you
secured any sponsorships or contributions from businesses or other levels of governments, like your
community or regional government, the federal government, or a development corporation? Are you
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Municipal and Community Affairs
partnering with any other GNWT department or agency to, for example, promote healthy lifestyle
choices like healthy eating, stop smoking or no to substance abuse during your event?)
What are your goals and objectives for this project? (Remember that the intent of this
program is to support regional youth sport events that encourage the development of local
programming, support athletes and coaches in smaller communities, and improve youth
participation in physical activity. How will your event contribute to this overall intent? Describe how
your program will strengthen local programming, support athletes and coaches, and improve youth
participation in physical activity.)
What results and benefits do you anticipate? (What are the benefits and gains for the
participants of the regional youth sport event and for the communities/regions from which they
come?)
Budget
The following expenses are eligible:
 travel and costs incidental to travel;
 accommodations and meals;
 rental of sport and recreation venues;
 premises suitable for sleeping quarters;
 repairs or purchase of sport equipment or training tools to a maximum of $5,000 per year;
and
 communications including advertising.
The following expenses are not eligible:
 core funding for sport and recreation organizations, community governments or school
authorities;
 per diems, fees, wages or similar payments to event participants;
 expenses related to the conduct of fundraising events;
 expenses related to gambling or cash prizes;
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Municipal and Community Affairs


capital or renovation costs over $5,000; and
territorial events or events held outside of the NWT.
Please submit a budget on the template provided in this application. Please include all revenues
and expenditures, and the amount you are requesting from the Regional Youth Sport Events
Contribution Program.
How much funding is needed to run the event?
$_______________________
How much funding is being requested through the Regional Youth Sport Events
Contribution Program?
$_______________________
Revenue
Regional Youth Sport Event
Contribution Amount
Other Revenues
(Fees, funding sources,
fundraising, etc.)
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Expenditure
(Contracts, program, workshops, etc.)
Municipal and Community Affairs
Total Revenue
Total Expenditure
SIGNATURES
Submitted by:
Date:
Print Name and Function/Title
Signature
Please submit this application to:
Sport, Recreation and Youth Division
Municipal and Community Affairs
600 - 5201 50th Avenue
Yellowknife, NT
X1A 3S9
Phone - (867) 873 7245 / Fax - (867) 920 6467
Email: damon_crossman@gov.nt.ca
MACA Approval:
MACA comments:
Last revised March 29, 2012
Date: